X-ray xm phrnx&/crv esoph c+ at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$197.04
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.
$463.00
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.
$39.20 with HORIZON vs $483.42 with OXFORD — 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 | $39.20 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $65.28 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $83.34 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $89.00 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $100.47 | ↓ -49% |
| AMERIHEALTH | LOCAL HMO | $121.33 | ↓ -38% |
| AMERIHEALTH | REGIONAL HMO | $123.43 | ↓ -37% |
| AETNA | HMO | $166.50 | ↓ -15% |
| AETNA | PPO | $166.50 | ↓ -15% |
| KARNA | MEDICARE ADVANTAGE | $173.93 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| QUALCARE | HMO | $229.65 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| CIGNA | HMO | $255.42 | ↑ +30% |
| CIGNA | PPO | $255.42 | ↑ +30% |
| HORIZON | OMNIA | $295.30 | ↑ +50% |
| HORIZON | WORKERS COMP | $325.95 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $347.25 | ↑ +76% |
| HORIZON | SHP | $356.28 | ↑ +81% |
| QUALCARE | PPO | $359.75 | ↑ +83% |
| AETNA | ASA | $362.53 | ↑ +84% |
| HORIZON | HMO | $365.26 | ↑ +85% |
| HORIZON | PIP | $365.31 | ↑ +85% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $370.40 | ↑ +88% |
| CIGNA | BH | $370.40 | ↑ +88% |
| HORIZON | INDEMNITY | $370.54 | ↑ +88% |
| HORIZON | PPO | $373.78 | ↑ +90% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $393.55 | ↑ +100% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $393.55 | ↑ +100% |
| QUALCARE | WORKERS COMP | $407.44 | ↑ +107% |
| UNITED HEALTHCARE | HMO | $483.42 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $483.42 | ↑ +145% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray xm phrnx&/crv esoph c+ at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $89.00 – $483.42 |
| Hackensack University Medical Center | Hackensack | $209.65 | $41.63 – $552.17 |
| Ocean University Medical Center | Brick | $194.55 | $89.00 – $255.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $108.50 – $511.99 |
| Jersey Shore University Medical Center | Neptune City | $197.04 | $89.00 – $255.42 |
| Palisades Medical Center | North Bergen | $209.65 | $45.92 – $483.42 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $63.00 – $483.42 |
| Southern Ocean Medical Center | Manahawkin | $194.55 | $89.00 – $255.42 |