Ultrasound exam k transpl w/doppler at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$117.70
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.
$713.00
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.
$100.53 with AETNA vs $641.70 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $100.53 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $128.34 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $154.72 | ↑ +31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $167.78 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $230.73 | ↑ +96% |
| AMERIHEALTH | REGIONAL HMO | $234.73 | ↑ +99% |
| KARNA | MEDICARE ADVANTAGE | $271.27 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| AETNA | HMO | $337.15 | ↑ +186% |
| AETNA | PPO | $337.15 | ↑ +186% |
| CIGNA | HMO | $430.57 | ↑ +266% |
| CIGNA | PPO | $430.57 | ↑ +266% |
| HORIZON | OMNIA | $454.75 | ↑ +286% |
| HORIZON | WORKERS COMP | $501.95 | ↑ +326% |
| HORIZON | MANAGED MEDICAID | $506.23 | ↑ +330% |
| BERGEN RISK | ALL PRODUCTS | $534.75 | ↑ +354% |
| HORIZON | SHP | $548.65 | ↑ +366% |
| QUALCARE | PPO | $554.00 | ↑ +371% |
| QUALCARE | HMO | $554.00 | ↑ +371% |
| AETNA | ASA | $558.28 | ↑ +374% |
| HORIZON | HMO | $562.49 | ↑ +378% |
| HORIZON | PIP | $562.56 | ↑ +378% |
| CIGNA | BH | $570.40 | ↑ +385% |
| HORIZON | INDEMNITY | $570.61 | ↑ +385% |
| HORIZON | PPO | $575.60 | ↑ +389% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $606.05 | ↑ +415% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $606.05 | ↑ +415% |
| QUALCARE | WORKERS COMP | $627.44 | ↑ +433% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $641.70 | ↑ +445% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound exam k transpl w/doppler at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $430.57 |
| Hackensack University Medical Center | Hackensack | $125.23 | $58.46 – $421.94 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $430.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $442.22 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $430.57 |
| Palisades Medical Center | North Bergen | $125.23 | $64.48 – $430.57 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $430.57 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $430.57 |