Surgical pathology level 2 gross & microscopic examination at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$43.44
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.
?
What you pay up front if you don't use insurance.
$193.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$24.15 with HORIZON vs $189.04 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $24.15 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $27.21 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $41.88 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $43.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $47.35 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $50.64 | ↑ +17% |
| UNITED HEALTHCARE | HMO | $50.64 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $52.13 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $61.51 | ↑ +42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.87 | ↑ +63% |
| QUALCARE | HMO | $95.73 | ↑ +120% |
| HORIZON | OMNIA | $123.10 | ↑ +183% |
| AETNA | PPO | $132.78 | ↑ +206% |
| AETNA | HMO | $132.78 | ↑ +206% |
| HORIZON | WORKERS COMP | $135.87 | ↑ +213% |
| BERGEN RISK | ALL PRODUCTS | $144.75 | ↑ +233% |
| HORIZON | SHP | $148.51 | ↑ +242% |
| QUALCARE | PPO | $149.96 | ↑ +245% |
| AETNA | ASA | $151.12 | ↑ +248% |
| HORIZON | HMO | $152.26 | ↑ +251% |
| HORIZON | PIP | $152.28 | ↑ +251% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $154.40 | ↑ +255% |
| CIGNA | BH | $154.40 | ↑ +255% |
| HORIZON | INDEMNITY | $154.46 | ↑ +256% |
| HORIZON | PPO | $155.81 | ↑ +259% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $164.05 | ↑ +278% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $164.05 | ↑ +278% |
| AMERIHEALTH | LOCAL HMO | $166.91 | ↑ +284% |
| QUALCARE | WORKERS COMP | $169.84 | ↑ +291% |
| CIGNA | PPO | $184.57 | ↑ +325% |
| CIGNA | HMO | $184.57 | ↑ +325% |
| AMERIHEALTH | REGIONAL HMO | $189.04 | ↑ +335% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $42.79 | $11.73 – $106.65 |
| Cooperman Barnabas Medical Center | Livingston | $68.44 | $11.73 – $106.65 |
| Community Medical Center | Toms River | $47.28 | $11.73 – $106.65 |
| Clara Maass Medical Center | Belleville | $52.90 | $11.73 – $106.65 |
| Newark Beth Israel Medical Center | Newark | $67.28 | $11.73 – $106.65 |
| Jersey City Medical Center | Jersey City | $47.37 | $11.73 – $106.65 |
| Monmouth Medical Center | Long Branch | $49.88 | $11.73 – $106.65 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $50.64 |