Xm archive tissue molec anal at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$27.11
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.
$440.00
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.
$19.12 with HORIZON vs $332.05 with AMERIHEALTH — 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 | $19.12 | ↓ -29% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $28.92 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $33.36 | ↑ +23% |
| AETNA | MANAGED MEDICAID | $47.80 | ↑ +76% |
| UNITED HEALTHCARE | HMO | $50.64 | ↑ +87% |
| OXFORD | ALL PRODUCTS | $50.64 | ↑ +87% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $73.56 | ↑ +171% |
| QUALCARE | HMO | $168.14 | ↑ +520% |
| HORIZON | OMNIA | $216.21 | ↑ +698% |
| AETNA | HMO | $233.23 | ↑ +760% |
| AETNA | PPO | $233.23 | ↑ +760% |
| HORIZON | WORKERS COMP | $238.66 | ↑ +780% |
| BERGEN RISK | ALL PRODUCTS | $254.25 | ↑ +838% |
| HORIZON | SHP | $260.86 | ↑ +862% |
| QUALCARE | PPO | $263.40 | ↑ +872% |
| AETNA | ASA | $265.44 | ↑ +879% |
| HORIZON | HMO | $267.44 | ↑ +886% |
| HORIZON | PIP | $267.47 | ↑ +887% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $271.20 | ↑ +900% |
| CIGNA | BH | $271.20 | ↑ +900% |
| HORIZON | INDEMNITY | $271.30 | ↑ +901% |
| HORIZON | PPO | $273.67 | ↑ +909% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $288.15 | ↑ +963% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $288.15 | ↑ +963% |
| AMERIHEALTH | LOCAL HMO | $293.17 | ↑ +981% |
| QUALCARE | WORKERS COMP | $298.32 | ↑ +1000% |
| CIGNA | PPO | $324.19 | ↑ +1096% |
| CIGNA | HMO | $324.19 | ↑ +1096% |
| AMERIHEALTH | REGIONAL HMO | $332.05 | ↑ +1125% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Xm archive tissue molec anal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $31.78 | $11.73 – $54.96 |
| Community Medical Center | Toms River | $30.07 | $11.73 – $53.25 |
| Clara Maass Medical Center | Belleville | $11.33 | $11.73 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $31.24 | $11.73 – $54.96 |
| Jersey City Medical Center | Jersey City | $30.13 | $11.73 – $57.39 |
| Monmouth Medical Center | Long Branch | $31.72 | $11.73 – $53.95 |
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $50.64 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $56.98 |