Warde protein c antigen at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$12.01
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.
$163.00
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.
$9.02 with AETNA vs $62.69 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $9.02 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.01 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.01 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.01 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.01 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $13.09 | ↑ +9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13.95 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $14.41 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15.64 | ↑ +30% |
| HORIZON | MANAGED MEDICAID | $20.70 | ↑ +72% |
| UNITED HEALTHCARE | HMO | $24.65 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $24.65 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.39 | ↑ +120% |
| QUALCARE | HMO | $31.74 | ↑ +164% |
| HORIZON | OMNIA | $40.82 | ↑ +240% |
| AETNA | HMO | $44.03 | ↑ +267% |
| AETNA | PPO | $44.03 | ↑ +267% |
| HORIZON | WORKERS COMP | $45.06 | ↑ +275% |
| BERGEN RISK | ALL PRODUCTS | $48.00 | ↑ +300% |
| HORIZON | SHP | $49.25 | ↑ +310% |
| QUALCARE | PPO | $49.73 | ↑ +314% |
| AETNA | ASA | $50.11 | ↑ +317% |
| HORIZON | HMO | $50.49 | ↑ +320% |
| HORIZON | PIP | $50.50 | ↑ +320% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $51.20 | ↑ +326% |
| CIGNA | BH | $51.20 | ↑ +326% |
| HORIZON | INDEMNITY | $51.22 | ↑ +326% |
| HORIZON | PPO | $51.67 | ↑ +330% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $54.40 | ↑ +353% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $54.40 | ↑ +353% |
| CIGNA | HMO | $55.03 | ↑ +358% |
| CIGNA | PPO | $55.03 | ↑ +358% |
| AMERIHEALTH | LOCAL HMO | $55.35 | ↑ +361% |
| QUALCARE | WORKERS COMP | $56.32 | ↑ +369% |
| AMERIHEALTH | REGIONAL HMO | $62.69 | ↑ +422% |
Visitor-reported prices
Comments
Warde protein c antigen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $13.21 | $5.64 – $57.21 |
| Cooperman Barnabas Medical Center | Livingston | $13.21 | $5.64 – $49.40 |
| Community Medical Center | Toms River | $13.21 | $5.64 – $49.40 |
| Clara Maass Medical Center | Belleville | $13.21 | $5.64 – $49.40 |
| Newark Beth Israel Medical Center | Newark | $13.21 | $5.64 – $49.40 |
| Jersey City Medical Center | Jersey City | $13.21 | $5.64 – $49.40 |
| Monmouth Medical Center | Long Branch | $13.21 | $5.64 – $49.40 |
| Bayshore Medical Center | Holmdel | $12.01 | $12.01 – $55.03 |