Annual Physical, New Patient (age 18-39) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$173.00
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.
$28.37 with AETNA vs $168.36 with AMERIHEALTH — 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 | $28.37 | — |
| CLOVER | MEDICARE ADVANTAGE | $31.14 | — |
| AETNA | MEDICARE ADVANTAGE | $31.31 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $32.35 | — |
| UNITED HEALTHCARE | HMO | $98.07 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $101.90 | — |
| HORIZON | MANAGED MEDICAID | $105.34 | — |
| HORIZON | WORKERS COMP | $111.59 | — |
| HORIZON | PIP | $111.59 | — |
| OXFORD | ALL PRODUCTS | $113.33 | — |
| HORIZON | OMNIA | $118.14 | — |
| BERGEN RISK | ALL PRODUCTS | $129.75 | — |
| QUALCARE | HMO | $134.42 | — |
| QUALCARE | PPO | $134.42 | — |
| AETNA | ASA | $135.46 | — |
| CIGNA | BH | $138.40 | — |
| HORIZON | SHP | $144.47 | — |
| HORIZON | HMO | $145.89 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $147.05 | — |
| HORIZON | INDEMNITY | $147.98 | — |
| AMERIHEALTH | LOCAL HMO | $148.64 | — |
| HORIZON | PPO | $149.33 | — |
| QUALCARE | WORKERS COMP | $152.24 | — |
| AETNA | PPO | $155.70 | — |
| AETNA | HMO | $155.70 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $155.70 | — |
| AMERIHEALTH | REGIONAL HMO | $168.36 | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $32.95 – $32.95 |
| Newark Beth Israel Medical Center | Newark | not published | $33.92 – $33.92 |
| Jersey City Medical Center | Jersey City | not published | $42.64 – $42.64 |
| Hackensack University Medical Center | Hackensack | not published | $157.29 – $157.29 |
| Ocean University Medical Center | Brick | not published | $104.00 – $181.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $104.00 – $181.00 |
| Jersey Shore University Medical Center | Neptune City | not published | $152.80 – $152.80 |
| Palisades Medical Center | North Bergen | not published | $157.29 – $157.29 |