Apheresis wbc at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,814.45
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.
$5,865.00
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.
$961.86 with AETNA vs $5,707.82 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 | $961.86 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $1,055.70 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,096.76 | ↓ -40% |
| VACCN | ALL PRODUCTS | $1,814.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,814.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,814.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,814.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,905.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,977.75 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,177.34 | ↑ +20% |
| QUALCARE | HMO | $2,909.04 | ↑ +60% |
| UNITED HEALTHCARE | HMO | $3,324.87 | ↑ +83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,454.49 | ↑ +90% |
| HORIZON | MANAGED MEDICAID | $3,571.20 | ↑ +97% |
| HORIZON | PIP | $3,782.93 | ↑ +108% |
| HORIZON | WORKERS COMP | $3,782.93 | ↑ +108% |
| OXFORD | ALL PRODUCTS | $3,842.16 | ↑ +112% |
| HORIZON | OMNIA | $4,005.21 | ↑ +121% |
| AETNA | HMO | $4,035.12 | ↑ +122% |
| AETNA | PPO | $4,035.12 | ↑ +122% |
| BERGEN RISK | ALL PRODUCTS | $4,398.75 | ↑ +142% |
| QUALCARE | PPO | $4,557.11 | ↑ +151% |
| AETNA | ASA | $4,592.30 | ↑ +153% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,692.00 | ↑ +159% |
| CIGNA | BH | $4,692.00 | ↑ +159% |
| HORIZON | SHP | $4,897.86 | ↑ +170% |
| HORIZON | HMO | $4,945.95 | ↑ +173% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,985.25 | ↑ +175% |
| HORIZON | INDEMNITY | $5,016.92 | ↑ +176% |
| AMERIHEALTH | LOCAL HMO | $5,039.21 | ↑ +178% |
| HORIZON | PPO | $5,062.67 | ↑ +179% |
| QUALCARE | WORKERS COMP | $5,161.20 | ↑ +184% |
| CIGNA | HMO | $5,608.70 | ↑ +209% |
| CIGNA | PPO | $5,608.70 | ↑ +209% |
| AMERIHEALTH | REGIONAL HMO | $5,707.82 | ↑ +215% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Apheresis wbc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,930.51 | $232.78 – $4,221.00 |
| Ocean University Medical Center | Brick | $1,791.54 | $104.00 – $3,128.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,816.03 | $98.00 – $3,343.00 |
| Jersey Shore University Medical Center | Neptune City | $1,814.45 | $126.71 – $2,177.34 |
| Palisades Medical Center | North Bergen | $1,930.51 | $96.53 – $2,104.26 |
| Raritan Bay Medical Center | Perth Amboy | $1,816.03 | $122.50 – $2,179.23 |
| Riverview Medical Center | Red Bank | $1,814.45 | $225.36 – $2,177.34 |
| Southern Ocean Medical Center | Manahawkin | $1,791.54 | $225.36 – $2,149.84 |