X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$395.29
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.
$1,375.00
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.
$68.60 with HORIZON vs $1,210.00 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 | $68.60 | ↓ -83% |
| AETNA | HMO | $128.95 | ↓ -67% |
| AETNA | PPO | $128.95 | ↓ -67% |
| KARNA | MEDICARE ADVANTAGE | $143.20 | ↓ -64% |
| CIGNA | HMO | $187.50 | ↓ -53% |
| CIGNA | PPO | $187.50 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $193.88 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $196.39 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $226.76 | ↓ -43% |
| AMERIHEALTH | REGIONAL HMO | $230.68 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $298.38 | ↓ -25% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| QUALCARE | HMO | $682.00 | ↑ +73% |
| HORIZON | OMNIA | $876.98 | ↑ +122% |
| HORIZON | WORKERS COMP | $968.00 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $996.68 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $996.68 | ↑ +152% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +161% |
| HORIZON | SHP | $1,058.06 | ↑ +168% |
| QUALCARE | PPO | $1,068.38 | ↑ +170% |
| AETNA | ASA | $1,076.63 | ↑ +172% |
| HORIZON | HMO | $1,084.74 | ↑ +174% |
| HORIZON | PIP | $1,084.88 | ↑ +174% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,100.00 | ↑ +178% |
| CIGNA | BH | $1,100.00 | ↑ +178% |
| HORIZON | INDEMNITY | $1,100.41 | ↑ +178% |
| HORIZON | PPO | $1,110.04 | ↑ +181% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,168.75 | ↑ +196% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +196% |
| QUALCARE | WORKERS COMP | $1,210.00 | ↑ +206% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $265.59 | $40.51 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $299.83 | $80.36 – $801.34 |
| Community Medical Center | Toms River | $293.47 | $80.36 – $776.70 |
| Clara Maass Medical Center | Belleville | $290.39 | $80.36 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $294.74 | $41.71 – $801.34 |
| Monmouth Medical Center | Long Branch | $309.60 | $80.36 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $128.95 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $72.85 – $1,138.41 |