Trnscath plc stent crv crtd without prtct at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
not published by hospital
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.
$12,940.00
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.
$1,824.54 with AETNA vs $12,674.73 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,824.54 | — |
| HORIZON | MANAGED MEDICAID | $1,892.00 | — |
| KARNA | MEDICARE ADVANTAGE | $2,002.46 | — |
| CLOVER | MEDICARE ADVANTAGE | $2,329.20 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | — |
| AETNA | MEDICARE ADVANTAGE | $2,717.40 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,807.98 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,820.92 | — |
| QUALCARE | HMO | $6,256.00 | — |
| HORIZON | OMNIA | $6,990.00 | — |
| OXFORD | ALL PRODUCTS | $7,751.00 | — |
| HORIZON | SHP | $7,997.00 | — |
| AETNA | HMO | $8,419.00 | — |
| AETNA | PPO | $8,419.00 | — |
| HORIZON | HMO | $8,624.00 | — |
| HORIZON | INDEMNITY | $8,743.00 | — |
| HORIZON | PPO | $8,826.00 | — |
| UNITED HEALTHCARE | HMO | $9,636.00 | — |
| BERGEN RISK | ALL PRODUCTS | $9,705.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| QUALCARE | PPO | $10,054.38 | — |
| AETNA | ASA | $10,132.02 | — |
| HORIZON | PIP | $10,209.66 | — |
| CIGNA | BH | $10,352.00 | — |
| HORIZON | WORKERS COMP | $10,715.00 | — |
| QUALCARE | WORKERS COMP | $10,822.00 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,999.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,999.00 | — |
| AMERIHEALTH | LOCAL HMO | $11,190.51 | — |
| CIGNA | HMO | $11,631.77 | — |
| CIGNA | PPO | $11,631.77 | — |
| AMERIHEALTH | REGIONAL HMO | $12,674.73 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
Visitor-reported prices
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Trnscath plc stent crv crtd without prtct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $949.08 – $949.08 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,831.16 – $1,831.16 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $725.53 – $843.00 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $602.94 – $843.00 |
| Trinitas Regional Medical Center | Elizabeth | not published | $569.45 – $569.45 |
| Cooperman Barnabas Medical Center | Livingston | not published | $926.74 – $926.74 |
| Clara Maass Medical Center | Belleville | not published | $915.58 – $915.58 |
| Newark Beth Israel Medical Center | Newark | not published | $586.19 – $1,680.42 |