Tympanic membrane repair at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,639.57
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.
$7,084.00
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.
$598.30 with KARNA vs $10,715.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $598.30 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $998.84 | ↓ -39% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -27% |
| CLOVER | MEDICARE ADVANTAGE | $1,275.12 | ↓ -22% |
| AETNA | MEDICARE ADVANTAGE | $1,487.64 | ↓ -9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,537.23 | ↓ -6% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,544.31 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $1,639.57 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,639.57 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,639.57 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,721.55 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $1,967.48 | ↑ +20% |
| HORIZON | OMNIA | $4,518.18 | ↑ +176% |
| BERGEN RISK | ALL PRODUCTS | $5,313.00 | ↑ +224% |
| HORIZON | SHP | $5,451.14 | ↑ +232% |
| QUALCARE | PPO | $5,504.27 | ↑ +236% |
| AETNA | ASA | $5,546.77 | ↑ +238% |
| HORIZON | HMO | $5,588.57 | ↑ +241% |
| HORIZON | PIP | $5,589.28 | ↑ +241% |
| CIGNA | BH | $5,667.20 | ↑ +246% |
| HORIZON | INDEMNITY | $5,669.33 | ↑ +246% |
| HORIZON | PPO | $5,718.91 | ↑ +249% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,021.40 | ↑ +267% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,021.40 | ↑ +267% |
| AMERIHEALTH | LOCAL HMO | $6,126.24 | ↑ +274% |
| QUALCARE | WORKERS COMP | $6,233.92 | ↑ +280% |
| QUALCARE | HMO | $6,256.00 | ↑ +282% |
| CIGNA | PPO | $6,367.81 | ↑ +288% |
| CIGNA | HMO | $6,367.81 | ↑ +288% |
| AMERIHEALTH | REGIONAL HMO | $6,938.78 | ↑ +323% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +404% |
| AETNA | PPO | $8,419.00 | ↑ +413% |
| AETNA | HMO | $8,419.00 | ↑ +413% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +506% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +527% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +554% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tympanic membrane repair at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $39.65 – $3,237.72 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $55.78 – $3,323.76 |
| Community Medical Center | Toms River | $3,786.00 | $57.12 – $3,221.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $55.10 – $3,307.14 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $40.81 – $3,323.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $51.31 – $3,471.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $110.21 – $3,262.74 |
| Bayshore Medical Center | Holmdel | $1,639.57 | $1,639.57 – $1,967.48 |