Bld prd mix at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$189.67
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.
$188.00
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.
$26.19 with UNITED HEALTHCARE vs $306.15 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.19 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $30.83 | ↓ -84% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $35.16 | ↓ -81% |
| QUALCARE | HMO | $93.25 | ↓ -51% |
| HORIZON | MANAGED MEDICAID | $114.47 | ↓ -40% |
| HORIZON | PIP | $121.26 | ↓ -36% |
| HORIZON | WORKERS COMP | $121.26 | ↓ -36% |
| HORIZON | OMNIA | $128.39 | ↓ -32% |
| AETNA | PPO | $129.34 | ↓ -32% |
| AETNA | HMO | $129.34 | ↓ -32% |
| BERGEN RISK | ALL PRODUCTS | $141.00 | ↓ -26% |
| QUALCARE | PPO | $146.08 | ↓ -23% |
| AETNA | ASA | $147.20 | ↓ -22% |
| CIGNA | BH | $150.40 | ↓ -21% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $150.40 | ↓ -21% |
| HORIZON | SHP | $157.00 | ↓ -17% |
| HORIZON | HMO | $158.54 | ↓ -16% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $159.80 | ↓ -16% |
| HORIZON | INDEMNITY | $160.82 | ↓ -15% |
| AMERIHEALTH | LOCAL HMO | $161.53 | ↓ -15% |
| HORIZON | PPO | $162.28 | ↓ -14% |
| QUALCARE | WORKERS COMP | $165.44 | ↓ -13% |
| CIGNA | HMO | $179.78 | ↓ -5% |
| CIGNA | PPO | $179.78 | ↓ -5% |
| AMERIHEALTH | REGIONAL HMO | $182.96 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $206.74 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $227.61 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $201.80 | $44.60 – $271.93 |
| Ocean University Medical Center | Brick | $187.28 | $26.19 – $266.30 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $27.50 – $325.17 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $26.19 – $266.30 |
| Palisades Medical Center | North Bergen | $201.80 | $49.20 – $629.14 |
| Raritan Bay Medical Center | Perth Amboy | $189.84 | $26.19 – $306.15 |
| Riverview Medical Center | Red Bank | $189.67 | $26.19 – $306.15 |
| Southern Ocean Medical Center | Manahawkin | $187.28 | $26.19 – $266.30 |