Bln 30frx10mmx12cm renal nephromax at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
?
What you pay up front if you don't use insurance.
$8,759.36
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.07 with CLOVER vs $894.84 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $0.07 | — |
| AETNA | MEDICARE ADVANTAGE | $6.73 | — |
| AMERIHEALTH | LOCAL HMO | $10.82 | — |
| AMERIHEALTH | REGIONAL HMO | $11.84 | — |
| WELLCARE | MANAGED MEDICAID | $16.74 | — |
| WELLCARE | MEDICARE ADVANTAGE | $16.74 | — |
| AETNA | MANAGED MEDICAID | $18.23 | — |
| CIGNA | PPO | $18.41 | — |
| CIGNA | HMO | $18.41 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.60 | — |
| QUALCARE | WORKERS COMP | $19.16 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $19.72 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $21.91 | — |
| BERGEN RISK | ALL PRODUCTS | $22.32 | — |
| HORIZON | PIP | $23.99 | — |
| HORIZON | WORKERS COMP | $23.99 | — |
| HORIZON | OMNIA | $25.40 | — |
| AETNA | ASA | $29.13 | — |
| CIGNA | BH | $29.76 | — |
| HORIZON | SHP | $31.07 | — |
| HORIZON | HMO | $31.37 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $31.62 | — |
| HORIZON | INDEMNITY | $31.82 | — |
| HORIZON | PPO | $32.11 | — |
| HORIZON | MANAGED MEDICAID | $227.01 | — |
| QUALCARE | HMO | $237.36 | — |
| QUALCARE | PPO | $261.20 | — |
| OXFORD | ALL PRODUCTS | $832.18 | — |
| UNITED HEALTHCARE | HMO | $841.44 | — |
| AETNA | HMO | $894.84 | — |
| AETNA | PPO | $894.84 | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bln 30frx10mmx12cm renal nephromax at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $393.23 | $271.44 – $271.44 |
| Cooperman Barnabas Medical Center | Livingston | $317.09 | $172.64 – $172.64 |
| Community Medical Center | Toms River | $310.35 | $176.80 – $176.80 |
| Clara Maass Medical Center | Belleville | $297.63 | $170.56 – $170.56 |
| Newark Beth Israel Medical Center | Newark | $311.70 | $313.04 – $313.04 |
| Jersey City Medical Center | Jersey City | $310.95 | $187.20 – $187.20 |
| Monmouth Medical Center | Long Branch | $327.41 | $341.12 – $341.12 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $343.37 | $164.32 – $164.32 |