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Blood Clotting (PT/INR) Test at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4.29
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.
$97.00
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.
$4.29 with SEOUL MEDICAL GROUP vs $53.53 with AMERIHEALTH — 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 |
|---|---|---|---|
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4.29 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $4.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4.29 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $4.29 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $4.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5.15 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $8.62 | ↑ +101% |
| UNITED HEALTHCARE | HMO | $8.81 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $8.81 | ↑ +105% |
| CIGNA | PPO | $19.66 | ↑ +358% |
| CIGNA | HMO | $19.66 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | $33.49 | ↑ +681% |
| HORIZON | PIP | $35.48 | ↑ +727% |
| HORIZON | WORKERS COMP | $35.48 | ↑ +727% |
| HORIZON | OMNIA | $37.56 | ↑ +776% |
| BERGEN RISK | ALL PRODUCTS | $41.25 | ↑ +862% |
| QUALCARE | HMO | $42.74 | ↑ +896% |
| QUALCARE | PPO | $42.74 | ↑ +896% |
| AETNA | ASA | $43.07 | ↑ +904% |
| CIGNA | BH | $44.00 | ↑ +926% |
| HORIZON | SHP | $45.93 | ↑ +971% |
| HORIZON | HMO | $46.38 | ↑ +981% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $46.75 | ↑ +990% |
| HORIZON | INDEMNITY | $47.05 | ↑ +997% |
| AMERIHEALTH | LOCAL HMO | $47.26 | ↑ +1002% |
| HORIZON | PPO | $47.48 | ↑ +1007% |
| QUALCARE | WORKERS COMP | $48.40 | ↑ +1028% |
| AETNA | PPO | $49.50 | ↑ +1054% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $49.50 | ↑ +1054% |
| AETNA | HMO | $49.50 | ↑ +1054% |
| AMERIHEALTH | REGIONAL HMO | $53.53 | ↑ +1148% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $38.80 | $14.07 – $14.07 |
| Hackensack University Medical Center | Hackensack | $4.29 | $3.43 – $55.00 |
| Ocean University Medical Center | Brick | $4.29 | $3.30 – $49.50 |