X-ray colon abdominal radiograph(s) & delayed images with glucagon double 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.
$1,861.00
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.
$78.40 with HORIZON vs $1,637.68 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 | $78.40 | ↓ -60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $167.78 | ↓ -15% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $262.40 | ↑ +33% |
| AMERIHEALTH | LOCAL HMO | $266.54 | ↑ +35% |
| AMERIHEALTH | REGIONAL HMO | $271.15 | ↑ +38% |
| AETNA | PPO | $313.21 | ↑ +59% |
| AETNA | HMO | $313.21 | ↑ +59% |
| CLOVER | MEDICARE ADVANTAGE | $334.98 | ↑ +70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $403.84 | ↑ +105% |
| KARNA | MEDICARE ADVANTAGE | $404.00 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $483.42 | ↑ +145% |
| CIGNA | HMO | $613.54 | ↑ +211% |
| CIGNA | PPO | $613.54 | ↑ +211% |
| QUALCARE | HMO | $923.06 | ↑ +368% |
| HORIZON | OMNIA | $1,186.95 | ↑ +502% |
| HORIZON | WORKERS COMP | $1,310.14 | ↑ +565% |
| BERGEN RISK | ALL PRODUCTS | $1,395.75 | ↑ +608% |
| HORIZON | SHP | $1,432.04 | ↑ +627% |
| QUALCARE | PPO | $1,446.00 | ↑ +634% |
| AETNA | ASA | $1,457.16 | ↑ +640% |
| HORIZON | HMO | $1,468.14 | ↑ +645% |
| HORIZON | PIP | $1,468.33 | ↑ +645% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,488.80 | ↑ +656% |
| CIGNA | BH | $1,488.80 | ↑ +656% |
| HORIZON | INDEMNITY | $1,489.36 | ↑ +656% |
| HORIZON | PPO | $1,502.39 | ↑ +662% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,581.85 | ↑ +703% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,581.85 | ↑ +703% |
| QUALCARE | WORKERS COMP | $1,637.68 | ↑ +731% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $315.33 | $114.30 – $836.76 |
| Cooperman Barnabas Medical Center | Livingston | $387.98 | $91.84 – $836.76 |
| Community Medical Center | Toms River | $348.43 | $91.84 – $836.76 |
| Clara Maass Medical Center | Belleville | $196.11 | $91.84 – $836.76 |
| Newark Beth Israel Medical Center | Newark | $381.39 | $91.84 – $836.76 |
| Jersey City Medical Center | Jersey City | $349.10 | $91.84 – $836.76 |
| Monmouth Medical Center | Long Branch | $367.58 | $91.84 – $836.76 |
| Bayshore Medical Center | Holmdel | $197.04 | $167.78 – $613.54 |