Unlisted px arthroscopy at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$265.51
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.
$5,893.00
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.
$265.51 with WELLCARE vs $15,984.00 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $265.51 | ↑ +0% |
| VACCN | ALL PRODUCTS | $265.51 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.51 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $265.51 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $278.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $289.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $318.62 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $830.91 | ↑ +213% |
| CLOVER | MEDICARE ADVANTAGE | $1,060.74 | ↑ +300% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +348% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,278.78 | ↑ +382% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +613% |
| OXFORD | ALL PRODUCTS | $2,825.00 | ↑ +964% |
| UNITED HEALTHCARE | HMO | $3,473.00 | ↑ +1208% |
| HORIZON | OMNIA | $3,758.56 | ↑ +1316% |
| BERGEN RISK | ALL PRODUCTS | $4,419.75 | ↑ +1565% |
| HORIZON | SHP | $4,534.66 | ↑ +1608% |
| QUALCARE | PPO | $4,578.86 | ↑ +1625% |
| AETNA | ASA | $4,614.22 | ↑ +1638% |
| HORIZON | HMO | $4,648.99 | ↑ +1651% |
| HORIZON | PIP | $4,649.58 | ↑ +1651% |
| CIGNA | BH | $4,714.40 | ↑ +1676% |
| HORIZON | INDEMNITY | $4,716.17 | ↑ +1676% |
| HORIZON | PPO | $4,757.42 | ↑ +1692% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,009.05 | ↑ +1787% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,009.05 | ↑ +1787% |
| AMERIHEALTH | LOCAL HMO | $5,096.27 | ↑ +1819% |
| QUALCARE | WORKERS COMP | $5,185.84 | ↑ +1853% |
| CIGNA | HMO | $5,297.22 | ↑ +1895% |
| CIGNA | PPO | $5,297.22 | ↑ +1895% |
| AMERIHEALTH | REGIONAL HMO | $5,772.19 | ↑ +2074% |
| QUALCARE | HMO | $6,256.00 | ↑ +2256% |
| AETNA | PPO | $8,419.00 | ↑ +3071% |
| AETNA | HMO | $8,419.00 | ↑ +3071% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +3936% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +5920% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px arthroscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $262.16 – $3,195.47 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.13 – $538.26 |
| Community Medical Center | Toms River | $3,786.00 | $262.16 – $521.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $269.13 – $535.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.13 – $538.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $282.50 – $562.18 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $265.51 – $528.36 |
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $15,984.00 |