App high cost ss t/a/l >100sq cm 1st 100sq cm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,052.18
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.
$7,150.00
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.
$1,172.60 with AETNA vs $13,844.00 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 | $1,172.60 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,287.00 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,337.05 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -60% |
| CIGNA | HMO | $2,247.00 | ↓ -45% |
| CIGNA | PPO | $2,518.00 | ↓ -38% |
| WELLCARE | MEDICARE ADVANTAGE | $4,052.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,052.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,052.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,052.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,254.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,416.88 | ↑ +9% |
| HORIZON | PIP | $4,611.75 | ↑ +14% |
| HORIZON | WORKERS COMP | $4,611.75 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $4,862.62 | ↑ +20% |
| HORIZON | OMNIA | $4,882.74 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $5,362.50 | ↑ +32% |
| QUALCARE | PPO | $5,555.55 | ↑ +37% |
| AETNA | ASA | $5,598.45 | ↑ +38% |
| CIGNA | BH | $5,720.00 | ↑ +41% |
| HORIZON | SHP | $5,970.97 | ↑ +47% |
| HORIZON | HMO | $6,029.60 | ↑ +49% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,077.50 | ↑ +50% |
| HORIZON | INDEMNITY | $6,116.11 | ↑ +51% |
| AMERIHEALTH | LOCAL HMO | $6,143.28 | ↑ +52% |
| HORIZON | PPO | $6,171.88 | ↑ +52% |
| QUALCARE | HMO | $6,256.00 | ↑ +54% |
| QUALCARE | WORKERS COMP | $6,292.00 | ↑ +55% |
| AMERIHEALTH | REGIONAL HMO | $6,958.38 | ↑ +72% |
| AETNA | HMO | $8,419.00 | ↑ +108% |
| AETNA | PPO | $8,419.00 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +174% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +242% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $4,311.38 | $408.17 – $4,526.95 |
| Ocean University Medical Center | Brick | $4,001.00 | $397.67 – $4,801.20 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,055.70 | $331.72 – $4,055.70 |
| Jersey Shore University Medical Center | Neptune City | $4,052.18 | $397.67 – $4,862.62 |
| Palisades Medical Center | North Bergen | $4,311.38 | $408.17 – $4,699.40 |
| Raritan Bay Medical Center | Perth Amboy | $4,055.70 | $408.17 – $4,866.83 |
| Riverview Medical Center | Red Bank | $4,052.18 | $397.67 – $4,862.62 |
| Southern Ocean Medical Center | Manahawkin | $4,001.00 | $397.67 – $4,801.20 |