Upper Back (Thoracic Spine) CT Scan (with contrast) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$197.04
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.
$3,259.00
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.
$197.04 with WELLCARE vs $2,917.00 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $238.25 | ↑ +21% |
| KARNA | MEDICARE ADVANTAGE | $319.79 | ↑ +62% |
| CIGNA | HMO | $350.64 | ↑ +78% |
| CIGNA | PPO | $350.64 | ↑ +78% |
| OXFORD | ALL PRODUCTS | $434.32 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +120% |
| AETNA | MANAGED MEDICAID | $459.52 | ↑ +133% |
| AETNA | HMO | $471.87 | ↑ +139% |
| AETNA | PPO | $471.87 | ↑ +139% |
| CLOVER | MEDICARE ADVANTAGE | $586.62 | ↑ +198% |
| AMERIHEALTH | LOCAL HMO | $642.47 | ↑ +226% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +230% |
| AMERIHEALTH | REGIONAL HMO | $653.59 | ↑ +232% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $707.20 | ↑ +259% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| HORIZON | OMNIA | $2,078.59 | ↑ +955% |
| QUALCARE | HMO | $2,083.00 | ↑ +957% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +996% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,248.71 | ↑ +1041% |
| HORIZON | WORKERS COMP | $2,294.34 | ↑ +1064% |
| BERGEN RISK | ALL PRODUCTS | $2,444.25 | ↑ +1140% |
| HORIZON | SHP | $2,507.80 | ↑ +1173% |
| AETNA | ASA | $2,551.80 | ↑ +1195% |
| HORIZON | HMO | $2,571.03 | ↑ +1205% |
| HORIZON | PIP | $2,571.35 | ↑ +1205% |
| CIGNA | BH | $2,607.20 | ↑ +1223% |
| HORIZON | INDEMNITY | $2,608.18 | ↑ +1224% |
| HORIZON | PPO | $2,630.99 | ↑ +1235% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,770.15 | ↑ +1306% |
| QUALCARE | PPO | $2,917.00 | ↑ +1380% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) CT Scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $464.55 | $90.47 – $609.45 |
| Cooperman Barnabas Medical Center | Livingston | $567.89 | $199.72 – $726.00 |
| Community Medical Center | Toms River | $513.31 | $194.55 – $726.00 |
| Clara Maass Medical Center | Belleville | $922.49 | $199.72 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $558.24 | $93.14 – $726.00 |
| Jersey City Medical Center | Jersey City | $514.30 | $117.08 – $704.00 |
| Monmouth Medical Center | Long Branch | $541.53 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $2,083.00 |