Urethrcystgrphy rtrgrde s&i at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$267.55
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.
$1,133.00
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.
$39.20 with HORIZON vs $1,109.77 with AMERIHEALTH — 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 | $39.20 | ↓ -85% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $109.55 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $159.75 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $203.94 | ↓ -24% |
| KARNA | MEDICARE ADVANTAGE | $237.21 | ↓ -11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $245.86 | ↓ -8% |
| VACCN | ALL PRODUCTS | $267.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $280.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $291.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $321.06 | ↑ +20% |
| QUALCARE | HMO | $561.97 | ↑ +110% |
| OXFORD | ALL PRODUCTS | $623.08 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +133% |
| HORIZON | OMNIA | $722.63 | ↑ +170% |
| HORIZON | WORKERS COMP | $797.63 | ↑ +198% |
| BERGEN RISK | ALL PRODUCTS | $849.75 | ↑ +218% |
| HORIZON | SHP | $871.84 | ↑ +226% |
| QUALCARE | PPO | $880.34 | ↑ +229% |
| AETNA | ASA | $887.14 | ↑ +232% |
| HORIZON | HMO | $893.82 | ↑ +234% |
| HORIZON | PIP | $893.94 | ↑ +234% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $906.40 | ↑ +239% |
| CIGNA | BH | $906.40 | ↑ +239% |
| HORIZON | INDEMNITY | $906.74 | ↑ +239% |
| HORIZON | PPO | $914.67 | ↑ +242% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $963.05 | ↑ +260% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $963.05 | ↑ +260% |
| AMERIHEALTH | LOCAL HMO | $979.82 | ↑ +266% |
| QUALCARE | WORKERS COMP | $997.04 | ↑ +273% |
| AETNA | HMO | $1,019.70 | ↑ +281% |
| AETNA | PPO | $1,019.70 | ↑ +281% |
| CIGNA | PPO | $1,083.49 | ↑ +305% |
| CIGNA | HMO | $1,083.49 | ↑ +305% |
| AMERIHEALTH | REGIONAL HMO | $1,109.77 | ↑ +315% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Urethrcystgrphy rtrgrde s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $294.31 | $20.40 – $528.34 |
| Cooperman Barnabas Medical Center | Livingston | $269.96 | $45.92 – $542.38 |
| Community Medical Center | Toms River | $325.20 | $45.92 – $525.70 |
| Clara Maass Medical Center | Belleville | $167.07 | $45.92 – $539.67 |
| Newark Beth Israel Medical Center | Newark | $265.37 | $21.00 – $542.38 |
| Jersey City Medical Center | Jersey City | $325.83 | $26.40 – $566.47 |
| Monmouth Medical Center | Long Branch | $343.07 | $45.92 – $532.42 |
| Bayshore Medical Center | Holmdel | $267.55 | $109.55 – $623.08 |