healthcosts.net
Blood Culture Test at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$10.32
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.
$229.00
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.
$10.32 with SEOUL MEDICAL GROUP vs $222.86 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 | $10.32 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $10.32 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $10.32 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $10.32 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $10.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $10.32 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $10.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $11.25 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $12.38 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $21.18 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $21.18 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $22.65 | ↑ +119% |
| CIGNA | PPO | $47.29 | ↑ +358% |
| CIGNA | HMO | $47.29 | ↑ +358% |
| QUALCARE | HMO | $113.58 | ↑ +1001% |
| HORIZON | MANAGED MEDICAID | $139.44 | ↑ +1251% |
| HORIZON | PIP | $147.71 | ↑ +1331% |
| HORIZON | WORKERS COMP | $147.71 | ↑ +1331% |
| HORIZON | OMNIA | $156.38 | ↑ +1415% |
| AETNA | PPO | $157.55 | ↑ +1427% |
| AETNA | HMO | $157.55 | ↑ +1427% |
| BERGEN RISK | ALL PRODUCTS | $171.75 | ↑ +1564% |
| QUALCARE | PPO | $177.93 | ↑ +1624% |
| AETNA | ASA | $179.31 | ↑ +1638% |
| CIGNA | BH | $183.20 | ↑ +1675% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $183.20 | ↑ +1675% |
| HORIZON | SHP | $191.24 | ↑ +1753% |
| HORIZON | HMO | $193.12 | ↑ +1771% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $194.65 | ↑ +1786% |
| HORIZON | INDEMNITY | $195.89 | ↑ +1798% |
| AMERIHEALTH | LOCAL HMO | $196.76 | ↑ +1807% |
| HORIZON | PPO | $197.67 | ↑ +1815% |
| QUALCARE | WORKERS COMP | $201.52 | ↑ +1853% |
| AMERIHEALTH | REGIONAL HMO | $222.86 | ↑ +2059% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Blood Culture Test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $91.60 | $33.21 – $33.21 |
| Hackensack University Medical Center | Hackensack | $10.32 | $8.26 – $229.00 |
| Ocean University Medical Center | Brick | $10.32 | $9.90 – $196.76 |