Adh-sendout at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$33.94
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.
$153.00
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.
$33.94 with CLOVER vs $155.52 with CIGNA — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $33.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $33.94 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $33.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $33.94 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $33.94 | ↑ +0% |
| VACCN | ALL PRODUCTS | $33.94 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $33.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $35.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $36.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $40.73 | ↑ +20% |
| QUALCARE | HMO | $52.08 | ↑ +53% |
| HORIZON | MANAGED MEDICAID | $63.93 | ↑ +88% |
| HORIZON | PIP | $67.73 | ↑ +100% |
| HORIZON | WORKERS COMP | $67.73 | ↑ +100% |
| OXFORD | ALL PRODUCTS | $69.66 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $69.66 | ↑ +105% |
| HORIZON | OMNIA | $71.70 | ↑ +111% |
| AETNA | PPO | $72.24 | ↑ +113% |
| AETNA | HMO | $72.24 | ↑ +113% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $74.51 | ↑ +120% |
| BERGEN RISK | ALL PRODUCTS | $78.75 | ↑ +132% |
| QUALCARE | PPO | $81.59 | ↑ +140% |
| AETNA | ASA | $82.22 | ↑ +142% |
| CIGNA | BH | $84.00 | ↑ +147% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $84.00 | ↑ +147% |
| HORIZON | SHP | $87.69 | ↑ +158% |
| HORIZON | HMO | $88.55 | ↑ +161% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $89.25 | ↑ +163% |
| HORIZON | INDEMNITY | $89.82 | ↑ +165% |
| AMERIHEALTH | LOCAL HMO | $90.22 | ↑ +166% |
| HORIZON | PPO | $90.64 | ↑ +167% |
| QUALCARE | WORKERS COMP | $92.40 | ↑ +172% |
| AMERIHEALTH | REGIONAL HMO | $102.19 | ↑ +201% |
| CIGNA | HMO | $155.52 | ↑ +358% |
| CIGNA | PPO | $155.52 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Adh-sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $33.94 | $27.15 – $152.41 |
| Ocean University Medical Center | Brick | $33.94 | $33.94 – $155.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.94 | $33.94 – $159.73 |
| Jersey Shore University Medical Center | Neptune City | $33.94 | $27.15 – $155.52 |
| Palisades Medical Center | North Bergen | $33.94 | $33.94 – $155.52 |
| Raritan Bay Medical Center | Perth Amboy | $33.94 | $33.94 – $155.52 |
| Riverview Medical Center | Red Bank | $33.94 | $33.94 – $155.52 |
| Southern Ocean Medical Center | Manahawkin | $33.94 | $33.94 – $155.52 |