X-ray knee ap standing bilateral at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$97.46
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.
$413.00
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.
$36.11 with HORIZON vs $363.44 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 | $36.11 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.37 | ↓ -63% |
| AMERIHEALTH | LOCAL HMO | $53.71 | ↓ -45% |
| AMERIHEALTH | REGIONAL HMO | $54.63 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $58.23 | ↓ -40% |
| KARNA | MEDICARE ADVANTAGE | $73.81 | ↓ -24% |
| CLOVER | MEDICARE ADVANTAGE | $74.34 | ↓ -24% |
| AETNA | PPO | $75.69 | ↓ -22% |
| AETNA | HMO | $75.69 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $89.62 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| CIGNA | HMO | $115.88 | ↑ +19% |
| CIGNA | PPO | $115.88 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| QUALCARE | HMO | $204.85 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| HORIZON | OMNIA | $263.41 | ↑ +170% |
| HORIZON | WORKERS COMP | $290.75 | ↑ +198% |
| BERGEN RISK | ALL PRODUCTS | $309.75 | ↑ +218% |
| HORIZON | SHP | $317.80 | ↑ +226% |
| QUALCARE | PPO | $320.90 | ↑ +229% |
| AETNA | ASA | $323.38 | ↑ +232% |
| HORIZON | HMO | $325.82 | ↑ +234% |
| HORIZON | PIP | $325.86 | ↑ +234% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $330.40 | ↑ +239% |
| CIGNA | BH | $330.40 | ↑ +239% |
| HORIZON | INDEMNITY | $330.52 | ↑ +239% |
| HORIZON | PPO | $333.41 | ↑ +242% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $351.05 | ↑ +260% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $351.05 | ↑ +260% |
| QUALCARE | WORKERS COMP | $363.44 | ↑ +273% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray knee ap standing bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $83.71 | $20.89 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $94.50 | $37.76 – $197.58 |
| Community Medical Center | Toms River | $92.50 | $37.76 – $191.50 |
| Clara Maass Medical Center | Belleville | $72.20 | $37.83 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $92.90 | $21.50 – $197.58 |
| Jersey City Medical Center | Jersey City | $92.67 | $27.03 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $36.37 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $38.34 – $250.18 |