Transplt allo hct/donor at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$65,462.28
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.
$71,666.00
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.
$493.50 with KARNA vs $78,554.74 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 | $493.50 | ↓ -99% |
| HORIZON | OMNIA | $6,351.00 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $6,804.38 | ↓ -90% |
| HORIZON | SHP | $7,337.00 | ↓ -89% |
| HORIZON | HMO | $7,841.00 | ↓ -88% |
| HORIZON | INDEMNITY | $7,948.00 | ↓ -88% |
| HORIZON | PPO | $8,024.00 | ↓ -88% |
| AETNA | HMO | $8,419.00 | ↓ -87% |
| AETNA | PPO | $8,419.00 | ↓ -87% |
| CLOVER | MEDICARE ADVANTAGE | $8,686.44 | ↓ -87% |
| HORIZON | WORKERS COMP | $10,149.00 | ↓ -84% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $10,471.99 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $28,423.96 | ↓ -57% |
| OXFORD | ALL PRODUCTS | $29,234.70 | ↓ -55% |
| HORIZON | MANAGED MEDICAID | $34,263.18 | ↓ -48% |
| BERGEN RISK | ALL PRODUCTS | $36,193.50 | ↓ -45% |
| QUALCARE | PPO | $37,496.47 | ↓ -43% |
| QUALCARE | HMO | $37,496.47 | ↓ -43% |
| AETNA | ASA | $37,786.01 | ↓ -42% |
| HORIZON | PIP | $38,075.56 | ↓ -42% |
| CIGNA | BH | $38,606.40 | ↓ -41% |
| UNITED HEALTHCARE | HMO | $39,161.37 | ↓ -40% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $41,019.30 | ↓ -37% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $41,019.30 | ↓ -37% |
| AMERIHEALTH | LOCAL HMO | $41,733.52 | ↓ -36% |
| QUALCARE | WORKERS COMP | $42,467.04 | ↓ -35% |
| CIGNA | HMO | $43,379.12 | ↓ -34% |
| CIGNA | PPO | $43,379.12 | ↓ -34% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $43,432.20 | ↓ -34% |
| AMERIHEALTH | REGIONAL HMO | $47,268.71 | ↓ -28% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65,462.28 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65,462.28 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65,462.28 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65,462.28 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68,735.39 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71,353.88 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78,554.74 | ↑ +20% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Transplt allo hct/donor at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $121.42 – $129,270.94 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $234.06 – $132,705.92 |
| Community Medical Center | Toms River | $3,786.00 | $239.70 – $128,624.59 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $231.24 – $132,042.39 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $124.99 – $132,705.92 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $157.13 – $138,602.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $462.48 – $130,269.94 |
| Bayshore Medical Center | Holmdel | $65,462.28 | $65,462.28 – $78,554.74 |