X-ray ribs w/posterior anterior chest > 4 views bilateral 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.
$803.00
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.
$49.00 with HORIZON vs $706.64 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 | $49.00 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $67.43 | ↓ -43% |
| AETNA | PPO | $88.67 | ↓ -25% |
| AETNA | HMO | $88.67 | ↓ -25% |
| KARNA | MEDICARE ADVANTAGE | $96.78 | ↓ -18% |
| AMERIHEALTH | LOCAL HMO | $97.47 | ↓ -17% |
| AMERIHEALTH | REGIONAL HMO | $99.15 | ↓ -16% |
| AETNA | MANAGED MEDICAID | $113.22 | ↓ -4% |
| 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% |
| CIGNA | PPO | $133.16 | ↑ +13% |
| CIGNA | HMO | $133.16 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $144.54 | ↑ +23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $174.25 | ↑ +48% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| QUALCARE | HMO | $398.29 | ↑ +238% |
| HORIZON | OMNIA | $512.15 | ↑ +335% |
| HORIZON | WORKERS COMP | $565.31 | ↑ +380% |
| BERGEN RISK | ALL PRODUCTS | $602.25 | ↑ +412% |
| HORIZON | SHP | $617.91 | ↑ +425% |
| QUALCARE | PPO | $623.93 | ↑ +430% |
| AETNA | ASA | $628.75 | ↑ +434% |
| HORIZON | HMO | $633.49 | ↑ +438% |
| HORIZON | PIP | $633.57 | ↑ +438% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $642.40 | ↑ +446% |
| CIGNA | BH | $642.40 | ↑ +446% |
| HORIZON | INDEMNITY | $642.64 | ↑ +446% |
| HORIZON | PPO | $648.26 | ↑ +451% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $682.55 | ↑ +480% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $682.55 | ↑ +480% |
| QUALCARE | WORKERS COMP | $706.64 | ↑ +500% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray ribs w/posterior anterior chest > 4 views bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $321.20 | $116.44 – $116.44 |
| Trinitas Regional Medical Center | Elizabeth | $156.35 | $27.38 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $176.51 | $57.40 – $238.62 |
| Community Medical Center | Toms River | $172.76 | $57.40 – $231.28 |
| Clara Maass Medical Center | Belleville | $202.08 | $57.40 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $173.51 | $28.18 – $238.62 |
| Jersey City Medical Center | Jersey City | $173.09 | $35.43 – $249.21 |
| Monmouth Medical Center | Long Branch | $182.26 | $57.40 – $234.22 |