Stent iliac/open or perc/uni/init 37221 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$12,552.42
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$20,018.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$977.17 with KARNA vs $27,151.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $977.17 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $2,822.54 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $3,603.24 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $4,203.78 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,343.91 | ↓ -65% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,363.92 | ↓ -65% |
| HORIZON | OMNIA | $6,990.00 | ↓ -44% |
| HORIZON | SHP | $7,997.00 | ↓ -36% |
| HORIZON | HMO | $8,624.00 | ↓ -31% |
| HORIZON | INDEMNITY | $8,743.00 | ↓ -30% |
| HORIZON | PPO | $8,826.00 | ↓ -30% |
| AETNA | PPO | $10,445.00 | ↓ -17% |
| AETNA | HMO | $10,445.00 | ↓ -17% |
| HORIZON | WORKERS COMP | $10,715.00 | ↓ -15% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -5% |
| WELLCARE | MANAGED MEDICAID | $12,552.42 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,552.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,552.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,180.04 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $14,212.78 | ↑ +13% |
| BERGEN RISK | ALL PRODUCTS | $15,013.50 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $15,062.91 | ↑ +20% |
| QUALCARE | PPO | $15,553.99 | ↑ +24% |
| QUALCARE | HMO | $15,553.99 | ↑ +24% |
| AETNA | ASA | $15,674.09 | ↑ +25% |
| HORIZON | PIP | $15,794.20 | ↑ +26% |
| CIGNA | BH | $16,014.40 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $17,015.30 | ↑ +36% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $17,015.30 | ↑ +36% |
| AMERIHEALTH | LOCAL HMO | $17,311.57 | ↑ +38% |
| QUALCARE | WORKERS COMP | $17,615.84 | ↑ +40% |
| CIGNA | HMO | $19,143.21 | ↑ +53% |
| CIGNA | PPO | $19,143.21 | ↑ +53% |
| AMERIHEALTH | REGIONAL HMO | $19,607.63 | ↑ +56% |
| OXFORD | ALL PRODUCTS | $21,748.00 | ↑ +73% |
| UNITED HEALTHCARE | HMO | $27,151.00 | ↑ +116% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Stent iliac/open or perc/uni/init 37221 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,575.17 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $3,477.47 – $25,446.42 |
| Community Medical Center | Toms River | $3,786.00 | $3,561.26 – $24,663.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $3,435.57 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,621.49 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,038.45 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $6,871.14 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |