Unlisted mr procedure at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$97.46
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.
$268.00
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.
$26.80 with HORIZON vs $5,610.00 with QUALCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $26.80 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $37.79 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $48.24 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.16 | ↓ -40% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| HORIZON | OMNIA | $170.93 | ↑ +75% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $184.92 | ↑ +90% |
| HORIZON | WORKERS COMP | $188.67 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $196.79 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $196.79 | ↑ +102% |
| HORIZON | SHP | $206.23 | ↑ +112% |
| AETNA | ASA | $209.84 | ↑ +115% |
| HORIZON | HMO | $211.43 | ↑ +117% |
| HORIZON | PIP | $211.45 | ↑ +117% |
| CIGNA | BH | $214.40 | ↑ +120% |
| HORIZON | INDEMNITY | $214.48 | ↑ +120% |
| HORIZON | PPO | $216.36 | ↑ +122% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $227.80 | ↑ +134% |
| AETNA | HMO | $241.20 | ↑ +147% |
| AETNA | PPO | $241.20 | ↑ +147% |
| CIGNA | HMO | $256.29 | ↑ +163% |
| CIGNA | PPO | $256.29 | ↑ +163% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +567% |
| AMERIHEALTH | LOCAL HMO | $653.35 | ↑ +570% |
| AMERIHEALTH | REGIONAL HMO | $664.65 | ↑ +582% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +876% |
| QUALCARE | HMO | $2,083.00 | ↑ +2037% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +2116% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +4345% |
| QUALCARE | PPO | $5,610.00 | ↑ +5656% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted mr procedure at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $1,066.24 | $96.23 – $2,072.00 |
| Monmouth Medical Center | Long Branch | $1,124.85 | $97.46 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $82.95 – $4,332.00 |
| Ocean University Medical Center | Brick | $96.23 | $88.05 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $97.46 – $4,332.00 |
| Palisades Medical Center | North Bergen | $103.69 | $103.69 – $4,332.00 |