Unlisted orl service/px at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$27.11
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.
$101.00
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.
$14.24 with AETNA vs $10,715.00 with HORIZON — 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 | $14.24 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $18.18 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $21.92 | ↓ -19% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $59.49 | ↑ +119% |
| OXFORD | ALL PRODUCTS | $61.19 | ↑ +126% |
| HORIZON | OMNIA | $64.42 | ↑ +138% |
| BERGEN RISK | ALL PRODUCTS | $75.75 | ↑ +179% |
| HORIZON | SHP | $77.72 | ↑ +187% |
| QUALCARE | PPO | $78.48 | ↑ +189% |
| AETNA | ASA | $79.08 | ↑ +192% |
| HORIZON | HMO | $79.68 | ↑ +194% |
| HORIZON | PIP | $79.69 | ↑ +194% |
| CIGNA | BH | $80.80 | ↑ +198% |
| HORIZON | INDEMNITY | $80.83 | ↑ +198% |
| HORIZON | PPO | $81.54 | ↑ +201% |
| UNITED HEALTHCARE | HMO | $81.96 | ↑ +202% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $85.85 | ↑ +217% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $85.85 | ↑ +217% |
| AMERIHEALTH | LOCAL HMO | $87.34 | ↑ +222% |
| QUALCARE | WORKERS COMP | $88.88 | ↑ +228% |
| CIGNA | HMO | $96.59 | ↑ +256% |
| CIGNA | PPO | $96.59 | ↑ +256% |
| AMERIHEALTH | REGIONAL HMO | $98.93 | ↑ +265% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +6879% |
| QUALCARE | HMO | $6,256.00 | ↑ +22976% |
| AETNA | HMO | $8,419.00 | ↑ +30955% |
| AETNA | PPO | $8,419.00 | ↑ +30955% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +36540% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +39424% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted orl service/px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $32.53 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $34.43 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $32.12 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $27.13 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $32.53 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $31.44 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $27.13 – $32.56 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $26.76 – $32.12 |