All tstg perq&iq w/venoms at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$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.
$96.00
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.
$15.74 with AETNA vs $538.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $15.74 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $17.28 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.95 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $56.54 | ↑ +109% |
| HORIZON | MANAGED MEDICAID | $58.45 | ↑ +116% |
| HORIZON | PIP | $61.92 | ↑ +128% |
| HORIZON | WORKERS COMP | $61.92 | ↑ +128% |
| HORIZON | OMNIA | $65.56 | ↑ +142% |
| BERGEN RISK | ALL PRODUCTS | $72.00 | ↑ +166% |
| QUALCARE | PPO | $74.59 | ↑ +175% |
| QUALCARE | HMO | $74.59 | ↑ +175% |
| AETNA | ASA | $75.17 | ↑ +177% |
| CIGNA | BH | $76.80 | ↑ +183% |
| HORIZON | SHP | $80.17 | ↑ +196% |
| HORIZON | HMO | $80.96 | ↑ +199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $81.60 | ↑ +201% |
| HORIZON | INDEMNITY | $82.12 | ↑ +203% |
| AMERIHEALTH | LOCAL HMO | $82.48 | ↑ +204% |
| HORIZON | PPO | $82.87 | ↑ +206% |
| QUALCARE | WORKERS COMP | $84.48 | ↑ +212% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $86.40 | ↑ +219% |
| AETNA | HMO | $86.40 | ↑ +219% |
| AETNA | PPO | $86.40 | ↑ +219% |
| CIGNA | PPO | $91.80 | ↑ +239% |
| CIGNA | HMO | $91.80 | ↑ +239% |
| AMERIHEALTH | REGIONAL HMO | $93.43 | ↑ +245% |
| OXFORD | ALL PRODUCTS | $391.00 | ↑ +1342% |
| UNITED HEALTHCARE | HMO | $538.00 | ↑ +1885% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq w/venoms at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $28.84 | $6.22 – $540.00 |
| Ocean University Medical Center | Brick | $26.76 | $6.06 – $391.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $6.22 – $641.00 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $6.06 – $411.00 |
| Palisades Medical Center | North Bergen | $28.84 | $6.22 – $803.00 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $6.22 – $387.00 |
| Riverview Medical Center | Red Bank | $27.11 | $6.06 – $396.00 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $6.06 – $393.00 |