X-ray hip uni w/wo pelvis min 4 views 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.
$528.00
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.
$40.18 with HORIZON vs $464.64 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 | $40.18 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $69.14 | ↓ -41% |
| AETNA | MANAGED MEDICAID | $74.45 | ↓ -37% |
| AMERIHEALTH | LOCAL HMO | $77.57 | ↓ -34% |
| AMERIHEALTH | REGIONAL HMO | $78.92 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $95.04 | ↓ -19% |
| AETNA | PPO | $104.63 | ↓ -11% |
| AETNA | HMO | $104.63 | ↓ -11% |
| KARNA | MEDICARE ADVANTAGE | $110.62 | ↓ -6% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $114.58 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CIGNA | PPO | $162.81 | ↑ +38% |
| CIGNA | HMO | $162.81 | ↑ +38% |
| QUALCARE | HMO | $261.89 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | OMNIA | $336.76 | ↑ +186% |
| HORIZON | WORKERS COMP | $371.71 | ↑ +216% |
| BERGEN RISK | ALL PRODUCTS | $396.00 | ↑ +236% |
| HORIZON | SHP | $406.30 | ↑ +245% |
| QUALCARE | PPO | $410.26 | ↑ +249% |
| AETNA | ASA | $413.42 | ↑ +251% |
| HORIZON | HMO | $416.54 | ↑ +254% |
| HORIZON | PIP | $416.59 | ↑ +254% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $422.40 | ↑ +259% |
| CIGNA | BH | $422.40 | ↑ +259% |
| HORIZON | INDEMNITY | $422.56 | ↑ +259% |
| HORIZON | PPO | $426.25 | ↑ +262% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $448.80 | ↑ +281% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $448.80 | ↑ +281% |
| QUALCARE | WORKERS COMP | $464.64 | ↑ +295% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray hip uni w/wo pelvis min 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $344.00 | $28.70 – $655.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $69.14 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $42.67 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $69.14 – $162.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $69.37 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $69.14 – $162.81 |
| Palisades Medical Center | North Bergen | $125.23 | $47.07 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $64.58 – $295.04 |