Blood split unit at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$156.95
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.
$451.00
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.
$73.96 with AETNA vs $1,780.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $73.96 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $81.18 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $84.34 | ↓ -46% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $156.95 | ↑ +0% |
| VACCN | ALL PRODUCTS | $156.95 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $156.95 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $156.95 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.80 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $171.08 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $188.34 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $265.64 | ↑ +69% |
| HORIZON | MANAGED MEDICAID | $274.61 | ↑ +75% |
| HORIZON | PIP | $290.90 | ↑ +85% |
| HORIZON | WORKERS COMP | $290.90 | ↑ +85% |
| HORIZON | OMNIA | $307.99 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $338.25 | ↑ +116% |
| QUALCARE | HMO | $350.43 | ↑ +123% |
| QUALCARE | PPO | $350.43 | ↑ +123% |
| AETNA | ASA | $353.13 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $357.00 | ↑ +127% |
| CIGNA | BH | $360.80 | ↑ +130% |
| HORIZON | SHP | $376.63 | ↑ +140% |
| HORIZON | HMO | $380.33 | ↑ +142% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $383.35 | ↑ +144% |
| HORIZON | INDEMNITY | $385.79 | ↑ +146% |
| AMERIHEALTH | LOCAL HMO | $387.50 | ↑ +147% |
| HORIZON | PPO | $389.30 | ↑ +148% |
| QUALCARE | WORKERS COMP | $396.88 | ↑ +153% |
| AETNA | HMO | $405.90 | ↑ +159% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $405.90 | ↑ +159% |
| AETNA | PPO | $405.90 | ↑ +159% |
| CIGNA | PPO | $431.29 | ↑ +175% |
| CIGNA | HMO | $431.29 | ↑ +175% |
| AMERIHEALTH | REGIONAL HMO | $438.91 | ↑ +180% |
| UNITED HEALTHCARE | HMO | $1,780.00 | ↑ +1034% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Blood split unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $45.04 | $154.97 – $309.94 |
| Cooperman Barnabas Medical Center | Livingston | $50.85 | $159.09 – $318.18 |
| Community Medical Center | Toms River | $49.77 | $154.97 – $308.39 |
| Clara Maass Medical Center | Belleville | $47.73 | $159.09 – $316.59 |
| Newark Beth Israel Medical Center | Newark | $49.99 | $159.09 – $318.18 |
| Jersey City Medical Center | Jersey City | $49.87 | $166.99 – $332.31 |
| Monmouth Medical Center | Long Branch | $52.51 | $156.95 – $2,199.00 |
| Hackensack University Medical Center | Hackensack | $166.99 | $130.83 – $518.00 |