Vein x-ray kidney at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,483.84
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.
$8,507.00
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.
$217.71 with KARNA vs $8,332.61 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $217.71 | ↓ -94% |
| HORIZON | MANAGED MEDICAID | $228.69 | ↓ -93% |
| AETNA | PPO | $238.36 | ↓ -93% |
| AETNA | HMO | $238.36 | ↓ -93% |
| CIGNA | HMO | $265.29 | ↓ -92% |
| CIGNA | PPO | $265.29 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $1,199.49 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $1,531.26 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,846.02 | ↓ -47% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| QUALCARE | HMO | $4,219.47 | ↑ +21% |
| HORIZON | OMNIA | $5,425.76 | ↑ +56% |
| HORIZON | WORKERS COMP | $5,988.93 | ↑ +72% |
| BERGEN RISK | ALL PRODUCTS | $6,380.25 | ↑ +83% |
| HORIZON | SHP | $6,546.14 | ↑ +88% |
| QUALCARE | PPO | $6,609.94 | ↑ +90% |
| AETNA | ASA | $6,660.98 | ↑ +91% |
| HORIZON | HMO | $6,711.17 | ↑ +93% |
| HORIZON | PIP | $6,712.02 | ↑ +93% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,805.60 | ↑ +95% |
| CIGNA | BH | $6,805.60 | ↑ +95% |
| HORIZON | INDEMNITY | $6,808.15 | ↑ +95% |
| HORIZON | PPO | $6,867.70 | ↑ +97% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,230.95 | ↑ +108% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,230.95 | ↑ +108% |
| AMERIHEALTH | LOCAL HMO | $7,356.85 | ↑ +111% |
| QUALCARE | WORKERS COMP | $7,486.16 | ↑ +115% |
| OXFORD | ALL PRODUCTS | $7,747.94 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +122% |
| AMERIHEALTH | REGIONAL HMO | $8,332.61 | ↑ +139% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray kidney at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,072.70 | $61.60 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $1,211.00 | $192.81 – $7,062.48 |
| Community Medical Center | Toms River | $1,185.29 | $176.93 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $1,136.71 | $192.81 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $1,190.43 | $63.41 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $1,187.57 | $79.71 – $7,376.29 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $238.36 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $227.51 – $8,849.68 |