CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Riverview Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,987

about 1.8× the $5,676 Medicare rate · typically $7,379–$16,041

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,645

Below the fair price — a good deal

about $1,342 under the fair price · 1.5× Medicare

Medicare pays $5,676 Fair price $9,987 This hospital $8,645 Cash price $6,620

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $6,120 Priciest $8,645

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,987 (about 1.8× the $5,676 Medicare rate). Riverview Medical Center charges insurers about $8,645, or about $6,620 in cash — below the fair price — a good deal. Located in Red Bank, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,471 - $29,498	114%
Blue Cross Blue Shieldmajor	$6,163	109%
Aetnamajor	$6,163 - $21,766	109%
Cignamajor	$21,167 - $23,551	373%
Amerigroup	$6,163	109%
AmeriHealth	$5,604	99%
Clover Health	$6,779	119%
WellCare	$6,163	109%
+ 6 smaller / regional plans	$6,008 - $25,686

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 6,620), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Riverview Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Riverview Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other NJ hospitals

Valley Hospital · Paramus $6,120
Shore Medical Center · Somers Point $6,435
Carewell Health Medical Center · East Orange $7,256
Bayshore Medical Center · Holmdel $7,577
Southern Ocean Medical Center · Manahawkin $7,708
Deborah Heart and Lung Center · Browns Mills $7,721
Jefferson Stratford Hospital · Stratford $8,269
Jfk University Medical Center · Edison $8,528

Insurance negotiated median for the same procedure, sorted lowest first.