Artery x-rays chest at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,483.84
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.
$5,094.00
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.
$317.04 with AETNA vs $7,747.94 with OXFORD — 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 | HMO | $317.04 | ↓ -91% |
| AETNA | PPO | $317.04 | ↓ -91% |
| CIGNA | HMO | $386.13 | ↓ -89% |
| CIGNA | PPO | $386.13 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $835.42 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $916.92 | ↓ -74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $952.58 | ↓ -73% |
| QUALCARE | HMO | $2,526.62 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $3,101.74 | ↓ -11% |
| HORIZON | WORKERS COMP | $3,285.63 | ↓ -6% |
| HORIZON | PIP | $3,285.63 | ↓ -6% |
| HORIZON | OMNIA | $3,478.69 | ↓ -0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $3,820.50 | ↑ +10% |
| QUALCARE | PPO | $3,958.04 | ↑ +14% |
| AETNA | ASA | $3,988.60 | ↑ +14% |
| CIGNA | BH | $4,075.20 | ↑ +17% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,075.20 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| HORIZON | SHP | $4,254.00 | ↑ +22% |
| HORIZON | HMO | $4,295.77 | ↑ +23% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,329.90 | ↑ +24% |
| HORIZON | INDEMNITY | $4,357.41 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $4,376.76 | ↑ +26% |
| HORIZON | PPO | $4,397.14 | ↑ +26% |
| QUALCARE | WORKERS COMP | $4,482.72 | ↑ +29% |
| AMERIHEALTH | REGIONAL HMO | $4,957.48 | ↑ +42% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $7,747.94 | ↑ +122% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays chest at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $3,706.68 | $103.40 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $302.61 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $317.31 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $302.61 – $3,658.03 |
| Palisades Medical Center | North Bergen | $3,706.68 | $114.06 – $7,747.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $156.49 – $7,747.94 |
| Riverview Medical Center | Red Bank | $3,483.84 | $97.37 – $7,747.94 |
| Southern Ocean Medical Center | Manahawkin | $3,439.84 | $302.61 – $3,611.83 |