Urinalysis (without microscopy) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$2.25
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.
$80.00
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.
$1.73 with HORIZON vs $78.36 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 | $1.73 | ↓ -23% |
| VACCN | ALL PRODUCTS | $2.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2.25 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $2.25 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $2.25 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2.36 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2.45 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2.70 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $2.93 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $4.62 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $4.62 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $4.93 | ↑ +119% |
| CIGNA | HMO | $10.31 | ↑ +358% |
| CIGNA | PPO | $10.31 | ↑ +358% |
| AETNA | MANAGED MEDICAID | $11.28 | ↑ +401% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $17.44 | ↑ +675% |
| QUALCARE | HMO | $39.68 | ↑ +1664% |
| HORIZON | OMNIA | $51.02 | ↑ +2168% |
| AETNA | HMO | $55.04 | ↑ +2346% |
| AETNA | PPO | $55.04 | ↑ +2346% |
| HORIZON | WORKERS COMP | $56.32 | ↑ +2403% |
| BERGEN RISK | ALL PRODUCTS | $60.00 | ↑ +2567% |
| HORIZON | SHP | $61.56 | ↑ +2636% |
| QUALCARE | PPO | $62.16 | ↑ +2663% |
| AETNA | ASA | $62.64 | ↑ +2684% |
| HORIZON | HMO | $63.11 | ↑ +2705% |
| HORIZON | PIP | $63.12 | ↑ +2705% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $64.00 | ↑ +2744% |
| CIGNA | BH | $64.00 | ↑ +2744% |
| HORIZON | INDEMNITY | $64.02 | ↑ +2745% |
| HORIZON | PPO | $64.58 | ↑ +2770% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $68.00 | ↑ +2922% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $68.00 | ↑ +2922% |
| AMERIHEALTH | LOCAL HMO | $69.18 | ↑ +2975% |
| QUALCARE | WORKERS COMP | $70.40 | ↑ +3029% |
| AMERIHEALTH | REGIONAL HMO | $78.36 | ↑ +3383% |
Visitor-reported prices
Comments
Urinalysis (without microscopy) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $32.00 | $11.60 – $44.96 |
| Trinitas Regional Medical Center | Elizabeth | $2.48 | $1.06 – $10.35 |
| Cooperman Barnabas Medical Center | Livingston | $2.48 | $1.06 – $9.34 |
| Community Medical Center | Toms River | $2.48 | $1.06 – $9.34 |
| Clara Maass Medical Center | Belleville | $2.48 | $1.06 – $9.34 |
| Childrens Specialized Hospital | Mountainside | $18.00 | $1.80 – $1.85 |
| Newark Beth Israel Medical Center | Newark | $2.48 | $1.06 – $9.34 |
| Jersey City Medical Center | Jersey City | $2.48 | $1.06 – $9.34 |