3-d radiotherapy plan at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,514.47
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.
$12,114.00
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.
$1,514.47 with WELLCARE vs $27,297.00 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $1,514.47 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,514.47 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,514.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,514.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,590.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,650.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,817.37 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $1,986.70 | ↑ +31% |
| CLOVER | MEDICARE ADVANTAGE | $2,180.52 | ↑ +44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,265.32 | ↑ +50% |
| OXFORD | ALL PRODUCTS | $2,774.00 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $2,820.00 | ↑ +86% |
| AMERIHEALTH | LOCAL HMO | $3,523.96 | ↑ +133% |
| AMERIHEALTH | REGIONAL HMO | $3,854.67 | ↑ +155% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,420.42 | ↑ +324% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,135.15 | ↑ +371% |
| HORIZON | MANAGED MEDICAID | $7,376.21 | ↑ +387% |
| HORIZON | PIP | $7,813.53 | ↑ +416% |
| HORIZON | WORKERS COMP | $7,813.53 | ↑ +416% |
| HORIZON | OMNIA | $8,272.65 | ↑ +446% |
| AETNA | PPO | $8,465.26 | ↑ +459% |
| AETNA | HMO | $8,465.26 | ↑ +459% |
| BERGEN RISK | ALL PRODUCTS | $9,085.50 | ↑ +500% |
| QUALCARE | WORKERS COMP | $9,412.58 | ↑ +522% |
| AETNA | ASA | $9,485.26 | ↑ +526% |
| CIGNA | BH | $9,691.20 | ↑ +540% |
| HORIZON | SHP | $10,116.40 | ↑ +568% |
| HORIZON | HMO | $10,215.74 | ↑ +575% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,296.90 | ↑ +580% |
| HORIZON | INDEMNITY | $10,362.32 | ↑ +584% |
| HORIZON | PPO | $10,456.80 | ↑ +590% |
| CIGNA | HMO | $11,584.62 | ↑ +665% |
| CIGNA | PPO | $11,584.62 | ↑ +665% |
| QUALCARE | HMO | $21,431.00 | ↑ +1315% |
| QUALCARE | PPO | $27,297.00 | ↑ +1702% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
3-d radiotherapy plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,611.35 | $780.38 – $9,085.33 |
| Ocean University Medical Center | Brick | $1,495.34 | $293.00 – $21,431.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,515.79 | $293.00 – $9,288.60 |
| Jersey Shore University Medical Center | Neptune City | $1,514.47 | $878.40 – $21,431.00 |
| Palisades Medical Center | North Bergen | $1,611.35 | $719.84 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $1,515.79 | $919.74 – $2,746.00 |
| Riverview Medical Center | Red Bank | $1,514.47 | $878.40 – $21,431.00 |
| Southern Ocean Medical Center | Manahawkin | $1,495.34 | $878.40 – $21,431.00 |