Surgical pathology level 1 gross examination only at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$27.11
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.
$154.00
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.
$10.75 with HORIZON vs $150.84 with AMERIHEALTH — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $10.75 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $21.71 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $30.06 | ↑ +11% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $30.76 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $33.42 | ↑ +23% |
| OXFORD | ALL PRODUCTS | $50.64 | ↑ +87% |
| UNITED HEALTHCARE | HMO | $50.64 | ↑ +87% |
| QUALCARE | HMO | $76.38 | ↑ +182% |
| HORIZON | OMNIA | $98.22 | ↑ +262% |
| AETNA | HMO | $105.95 | ↑ +291% |
| AETNA | PPO | $105.95 | ↑ +291% |
| HORIZON | WORKERS COMP | $108.42 | ↑ +300% |
| BERGEN RISK | ALL PRODUCTS | $115.50 | ↑ +326% |
| HORIZON | SHP | $118.50 | ↑ +337% |
| QUALCARE | PPO | $119.66 | ↑ +341% |
| AETNA | ASA | $120.58 | ↑ +345% |
| HORIZON | HMO | $121.49 | ↑ +348% |
| HORIZON | PIP | $121.51 | ↑ +348% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $123.20 | ↑ +354% |
| CIGNA | BH | $123.20 | ↑ +354% |
| HORIZON | INDEMNITY | $123.25 | ↑ +355% |
| HORIZON | PPO | $124.32 | ↑ +359% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $130.90 | ↑ +383% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $130.90 | ↑ +383% |
| AMERIHEALTH | LOCAL HMO | $133.18 | ↑ +391% |
| QUALCARE | WORKERS COMP | $135.52 | ↑ +400% |
| CIGNA | PPO | $147.27 | ↑ +443% |
| CIGNA | HMO | $147.27 | ↑ +443% |
| AMERIHEALTH | REGIONAL HMO | $150.84 | ↑ +456% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $27.59 | $11.73 – $53.52 |
| Cooperman Barnabas Medical Center | Livingston | $46.40 | $11.73 – $54.96 |
| Community Medical Center | Toms River | $30.48 | $11.73 – $53.25 |
| Clara Maass Medical Center | Belleville | $36.00 | $11.73 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $45.61 | $11.73 – $54.96 |
| Jersey City Medical Center | Jersey City | $30.54 | $11.73 – $57.39 |
| Monmouth Medical Center | Long Branch | $32.16 | $11.73 – $53.95 |
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $50.64 |