Tx atrial fib pulm vein isol at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$27,153.82
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.
$42,264.00
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.
$1,523.86 with KARNA vs $41,397.59 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,523.86 | ↓ -94% |
| AETNA | MANAGED MEDICAID | $5,959.22 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $7,607.52 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,171.29 | ↓ -66% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,850.00 | ↓ -20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $24,893.50 | ↓ -8% |
| OXFORD | ALL PRODUCTS | $25,603.53 | ↓ -6% |
| HORIZON | OMNIA | $26,955.98 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27,153.82 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27,153.82 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27,153.82 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27,153.82 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28,511.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29,597.67 | ↑ +9% |
| HORIZON | WORKERS COMP | $29,753.86 | ↑ +10% |
| HORIZON | MANAGED MEDICAID | $30,007.44 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $31,698.00 | ↑ +17% |
| HORIZON | SHP | $32,522.15 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $32,584.59 | ↑ +20% |
| QUALCARE | WORKERS COMP | $32,760.00 | ↑ +21% |
| QUALCARE | PPO | $32,760.00 | ↑ +21% |
| QUALCARE | HMO | $32,760.00 | ↑ +21% |
| AETNA | ASA | $33,092.71 | ↑ +22% |
| HORIZON | HMO | $33,342.07 | ↑ +23% |
| HORIZON | PIP | $33,346.30 | ↑ +23% |
| CIGNA | BH | $33,811.20 | ↑ +25% |
| HORIZON | INDEMNITY | $33,823.88 | ↑ +25% |
| HORIZON | PPO | $34,119.73 | ↑ +26% |
| UNITED HEALTHCARE | HMO | $35,584.00 | ↑ +31% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $35,924.40 | ↑ +32% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $35,924.40 | ↑ +32% |
| AMERIHEALTH | LOCAL HMO | $36,549.91 | ↑ +35% |
| AETNA | PPO | $38,037.60 | ↑ +40% |
| AETNA | HMO | $38,037.60 | ↑ +40% |
| CIGNA | HMO | $40,417.06 | ↑ +49% |
| CIGNA | PPO | $40,417.06 | ↑ +49% |
| AMERIHEALTH | REGIONAL HMO | $41,397.59 | ↑ +52% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $10,116.10 | $27,523.28 – $55,046.56 |
| Clara Maass Medical Center | Belleville | $6,321.24 | $27,523.28 – $54,771.33 |
| Newark Beth Israel Medical Center | Newark | $9,944.24 | $480.04 – $55,046.56 |
| Jersey City Medical Center | Jersey City | $11,099.42 | $603.48 – $57,492.51 |
| Bayshore Medical Center | Holmdel | $27,153.82 | $27,153.82 – $32,584.59 |
| Hackensack University Medical Center | Hackensack | $28,890.71 | $1,559.16 – $30,335.24 |
| Ocean University Medical Center | Brick | $26,810.86 | $104.00 – $32,173.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27,177.37 | $104.00 – $27,177.37 |