X-ray exam entire spi 6/> vw at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$117.70
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.
$523.00
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.
$62.96 with HORIZON vs $4,332.00 with BERGEN RISK — 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 | $62.96 | ↓ -47% |
| AETNA | MANAGED MEDICAID | $73.74 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $94.14 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $113.49 | ↓ -4% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $119.35 | ↑ +1% |
| AMERIHEALTH | REGIONAL HMO | $121.41 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| AETNA | PPO | $168.50 | ↑ +43% |
| AETNA | HMO | $168.50 | ↑ +43% |
| KARNA | MEDICARE ADVANTAGE | $182.02 | ↑ +55% |
| CIGNA | PPO | $278.87 | ↑ +137% |
| CIGNA | HMO | $278.87 | ↑ +137% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | OMNIA | $333.57 | ↑ +183% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $360.87 | ↑ +207% |
| HORIZON | WORKERS COMP | $368.19 | ↑ +213% |
| HORIZON | SHP | $402.45 | ↑ +242% |
| AETNA | ASA | $409.51 | ↑ +248% |
| HORIZON | HMO | $412.59 | ↑ +251% |
| HORIZON | PIP | $412.65 | ↑ +251% |
| CIGNA | BH | $418.40 | ↑ +255% |
| HORIZON | INDEMNITY | $418.56 | ↑ +256% |
| HORIZON | PPO | $422.22 | ↑ +259% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $444.55 | ↑ +278% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +452% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +708% |
| QUALCARE | HMO | $2,083.00 | ↑ +1670% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +1735% |
| QUALCARE | PPO | $2,218.00 | ↑ +1784% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +3581% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam entire spi 6/> vw at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $162.92 | $51.50 – $411.24 |
| Community Medical Center | Toms River | $180.02 | $73.75 – $411.24 |
| Childrens Specialized Hospital | Mountainside | $242.50 | $44.97 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $208.71 | $53.01 – $411.24 |
| Jersey City Medical Center | Jersey City | $180.37 | $66.65 – $411.24 |
| Monmouth Medical Center | Long Branch | $189.91 | $73.75 – $411.24 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $66.86 – $4,332.00 |