X-ray colon abdominal radiograph(s) & delayed images single contrast study 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.
$1,100.00
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.
$58.80 with HORIZON vs $968.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $58.80 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $128.54 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $155.10 | ↓ -21% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $198.00 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $198.91 | ↑ +1% |
| AMERIHEALTH | REGIONAL HMO | $202.35 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $238.70 | ↑ +21% |
| KARNA | MEDICARE ADVANTAGE | $281.43 | ↑ +43% |
| AETNA | PPO | $313.21 | ↑ +59% |
| AETNA | HMO | $313.21 | ↑ +59% |
| CIGNA | PPO | $394.97 | ↑ +100% |
| CIGNA | HMO | $394.97 | ↑ +100% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $483.42 | ↑ +145% |
| QUALCARE | HMO | $545.60 | ↑ +177% |
| HORIZON | OMNIA | $701.58 | ↑ +256% |
| HORIZON | WORKERS COMP | $774.40 | ↑ +293% |
| BERGEN RISK | ALL PRODUCTS | $825.00 | ↑ +319% |
| HORIZON | SHP | $846.45 | ↑ +330% |
| QUALCARE | PPO | $854.70 | ↑ +334% |
| AETNA | ASA | $861.30 | ↑ +337% |
| HORIZON | HMO | $867.79 | ↑ +340% |
| HORIZON | PIP | $867.90 | ↑ +340% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $880.00 | ↑ +347% |
| CIGNA | BH | $880.00 | ↑ +347% |
| HORIZON | INDEMNITY | $880.33 | ↑ +347% |
| HORIZON | PPO | $888.03 | ↑ +351% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $935.00 | ↑ +375% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $935.00 | ↑ +375% |
| QUALCARE | WORKERS COMP | $968.00 | ↑ +391% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray colon abdominal radiograph(s) & delayed images single contrast study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $206.09 | $79.62 – $546.91 |
| Cooperman Barnabas Medical Center | Livingston | $235.20 | $68.88 – $546.91 |
| Community Medical Center | Toms River | $227.72 | $68.88 – $546.91 |
| Clara Maass Medical Center | Belleville | $158.32 | $68.88 – $546.91 |
| Newark Beth Israel Medical Center | Newark | $231.21 | $68.88 – $546.91 |
| Jersey City Medical Center | Jersey City | $228.16 | $68.88 – $546.91 |
| Monmouth Medical Center | Long Branch | $240.24 | $68.88 – $546.91 |
| Bayshore Medical Center | Holmdel | $197.04 | $128.54 – $483.42 |