healthcosts.net
Ankle X-ray at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$633.00
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.
$39.24 with UNITED HEALTHCARE vs $557.04 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $39.24 | ↓ -60% |
| AMERIHEALTH | LOCAL HMO | $57.68 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $58.68 | ↓ -40% |
| AETNA | PPO | $63.73 | ↓ -35% |
| AETNA | HMO | $63.73 | ↓ -35% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| CIGNA | PPO | $101.05 | ↑ +4% |
| CIGNA | HMO | $101.05 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $103.81 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $113.94 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $118.37 | ↑ +21% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | HMO | $313.97 | ↑ +222% |
| HORIZON | MANAGED MEDICAID | $385.43 | ↑ +295% |
| HORIZON | PIP | $408.29 | ↑ +319% |
| HORIZON | WORKERS COMP | $408.29 | ↑ +319% |
| HORIZON | OMNIA | $432.28 | ↑ +344% |
| BERGEN RISK | ALL PRODUCTS | $474.75 | ↑ +387% |
| QUALCARE | PPO | $491.84 | ↑ +405% |
| AETNA | ASA | $495.64 | ↑ +409% |
| CIGNA | BH | $506.40 | ↑ +420% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $506.40 | ↑ +420% |
| HORIZON | SHP | $528.62 | ↑ +442% |
| HORIZON | HMO | $533.81 | ↑ +448% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $538.05 | ↑ +452% |
| HORIZON | INDEMNITY | $541.47 | ↑ +456% |
| HORIZON | PPO | $546.41 | ↑ +461% |
| QUALCARE | WORKERS COMP | $557.04 | ↑ +472% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ankle X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $253.20 | $91.79 – $91.79 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.60 – $448.06 |
| Ocean University Medical Center | Brick | $96.23 | $39.24 – $506.40 |