Apply intrcav radiat simple at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$640.29
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.
$4,121.00
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.
$640.29 with WELLCARE vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $640.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $640.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $640.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $640.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $672.30 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $675.84 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $697.91 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $741.78 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $768.34 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $770.63 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +152% |
| UNITED HEALTHCARE | HMO | $2,336.19 | ↑ +265% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,427.27 | ↑ +279% |
| HORIZON | PIP | $2,658.05 | ↑ +315% |
| HORIZON | WORKERS COMP | $2,658.05 | ↑ +315% |
| OXFORD | ALL PRODUCTS | $2,699.67 | ↑ +322% |
| HORIZON | OMNIA | $2,814.23 | ↑ +340% |
| BERGEN RISK | ALL PRODUCTS | $3,090.75 | ↑ +383% |
| QUALCARE | PPO | $3,202.02 | ↑ +400% |
| AETNA | ASA | $3,226.74 | ↑ +404% |
| CIGNA | BH | $3,296.80 | ↑ +415% |
| HORIZON | SHP | $3,441.45 | ↑ +437% |
| HORIZON | HMO | $3,475.24 | ↑ +443% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,502.85 | ↑ +447% |
| HORIZON | INDEMNITY | $3,525.10 | ↑ +451% |
| AMERIHEALTH | LOCAL HMO | $3,540.76 | ↑ +453% |
| HORIZON | PPO | $3,557.25 | ↑ +456% |
| QUALCARE | WORKERS COMP | $3,626.48 | ↑ +466% |
| CIGNA | PPO | $3,940.91 | ↑ +515% |
| CIGNA | HMO | $3,940.91 | ↑ +515% |
| AMERIHEALTH | REGIONAL HMO | $4,010.56 | ↑ +526% |
| QUALCARE | HMO | $6,256.00 | ↑ +877% |
| AETNA | HMO | $8,419.00 | ↑ +1215% |
| AETNA | PPO | $8,419.00 | ↑ +1215% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1451% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Apply intrcav radiat simple at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $681.24 | $544.99 – $806.24 |
| Ocean University Medical Center | Brick | $632.20 | $578.47 – $770.25 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $640.84 | $578.47 – $806.24 |
| Jersey Shore University Medical Center | Neptune City | $640.29 | $640.29 – $770.25 |
| Palisades Medical Center | North Bergen | $681.24 | $681.24 – $806.24 |
| Raritan Bay Medical Center | Perth Amboy | $640.84 | $640.84 – $806.24 |
| Riverview Medical Center | Red Bank | $640.29 | $640.29 – $770.25 |
| Southern Ocean Medical Center | Manahawkin | $632.20 | $632.20 – $770.25 |