X-ray ribs w/posterior anterior chest 3 views left 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.
$724.00
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.
$38.50 with HORIZON vs $637.12 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 | $38.50 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.46 | ↓ -57% |
| AETNA | HMO | $63.73 | ↓ -46% |
| AETNA | PPO | $63.73 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $77.75 | ↓ -34% |
| AMERIHEALTH | LOCAL HMO | $91.50 | ↓ -22% |
| AMERIHEALTH | REGIONAL HMO | $93.08 | ↓ -21% |
| AETNA | MANAGED MEDICAID | $102.08 | ↓ -13% |
| CIGNA | HMO | $104.77 | ↓ -11% |
| CIGNA | PPO | $104.77 | ↓ -11% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $130.32 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $157.11 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| QUALCARE | HMO | $359.10 | ↑ +205% |
| HORIZON | OMNIA | $461.77 | ↑ +292% |
| HORIZON | WORKERS COMP | $509.70 | ↑ +333% |
| BERGEN RISK | ALL PRODUCTS | $543.00 | ↑ +361% |
| HORIZON | SHP | $557.12 | ↑ +373% |
| QUALCARE | PPO | $562.55 | ↑ +378% |
| AETNA | ASA | $566.89 | ↑ +382% |
| HORIZON | HMO | $571.16 | ↑ +385% |
| HORIZON | PIP | $571.24 | ↑ +385% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $579.20 | ↑ +392% |
| CIGNA | BH | $579.20 | ↑ +392% |
| HORIZON | INDEMNITY | $579.42 | ↑ +392% |
| HORIZON | PPO | $584.49 | ↑ +397% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $615.40 | ↑ +423% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $615.40 | ↑ +423% |
| QUALCARE | WORKERS COMP | $637.12 | ↑ +441% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray ribs w/posterior anterior chest 3 views left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $289.60 | $104.98 – $104.98 |
| Bayshore Medical Center | Holmdel | $117.70 | $50.46 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $40.88 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $50.46 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $81.67 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $50.46 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $45.10 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $50.46 – $295.04 |