Tomosynthesis breast screen bilateral at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$65.52
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.
$222.00
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.
$19.89 with AMERIHEALTH vs $199.80 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $19.89 | ↓ -70% |
| AMERIHEALTH | REGIONAL HMO | $20.23 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $31.30 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $39.96 | ↓ -39% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.76 | ↓ -27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $48.17 | ↓ -26% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $48.40 | ↓ -26% |
| WELLCARE | MANAGED MEDICAID | $65.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $65.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68.80 | ↑ +5% |
| UNITED HEALTHCARE | HMO | $68.96 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $68.96 | ↑ +5% |
| AETNA | HMO | $70.84 | ↑ +8% |
| AETNA | PPO | $70.84 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $71.42 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.62 | ↑ +20% |
| CIGNA | HMO | $90.13 | ↑ +38% |
| CIGNA | PPO | $90.13 | ↑ +38% |
| KARNA | MEDICARE ADVANTAGE | $94.53 | ↑ +44% |
| HORIZON | OMNIA | $141.59 | ↑ +116% |
| HORIZON | WORKERS COMP | $156.29 | ↑ +139% |
| HORIZON | MANAGED MEDICAID | $157.62 | ↑ +141% |
| BERGEN RISK | ALL PRODUCTS | $166.50 | ↑ +154% |
| HORIZON | SHP | $170.83 | ↑ +161% |
| QUALCARE | HMO | $172.49 | ↑ +163% |
| QUALCARE | PPO | $172.49 | ↑ +163% |
| AETNA | ASA | $173.83 | ↑ +165% |
| HORIZON | HMO | $175.14 | ↑ +167% |
| HORIZON | PIP | $175.16 | ↑ +167% |
| CIGNA | BH | $177.60 | ↑ +171% |
| HORIZON | INDEMNITY | $177.67 | ↑ +171% |
| HORIZON | PPO | $179.22 | ↑ +174% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $188.70 | ↑ +188% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $188.70 | ↑ +188% |
| QUALCARE | WORKERS COMP | $195.36 | ↑ +198% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $199.80 | ↑ +205% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $52.18 | $18.87 – $651.60 |
| Community Medical Center | Toms River | $57.65 | $13.99 – $125.06 |
| Newark Beth Israel Medical Center | Newark | $57.90 | $13.99 – $125.06 |
| Jersey City Medical Center | Jersey City | $57.76 | $13.99 – $125.06 |
| Monmouth Medical Center | Long Branch | $60.82 | $13.99 – $125.06 |
| Bayshore Medical Center | Holmdel | $65.52 | $19.89 – $90.13 |
| Hackensack University Medical Center | Hackensack | $65.52 | $19.94 – $98.65 |
| Ocean University Medical Center | Brick | $65.52 | $19.89 – $94.53 |