Brain image w/flow < 4 views at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$444.77
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.
$1,285.00
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.
$210.74 with AETNA vs $1,156.50 with BRIGHTON HEALTH PLAN — 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 | $210.74 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $231.30 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $240.30 | ↓ -46% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.75 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $316.26 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $321.74 | ↓ -28% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| AETNA | HMO | $555.40 | ↑ +25% |
| AETNA | PPO | $555.40 | ↑ +25% |
| CIGNA | HMO | $696.92 | ↑ +57% |
| CIGNA | PPO | $696.92 | ↑ +57% |
| HORIZON | MANAGED MEDICAID | $782.44 | ↑ +76% |
| HORIZON | PIP | $828.83 | ↑ +86% |
| HORIZON | WORKERS COMP | $828.83 | ↑ +86% |
| HORIZON | OMNIA | $877.53 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $963.75 | ↑ +117% |
| QUALCARE | HMO | $998.45 | ↑ +124% |
| QUALCARE | PPO | $998.45 | ↑ +124% |
| AETNA | ASA | $1,006.16 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +130% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +130% |
| CIGNA | BH | $1,028.00 | ↑ +131% |
| HORIZON | SHP | $1,073.10 | ↑ +141% |
| HORIZON | HMO | $1,083.64 | ↑ +144% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,092.25 | ↑ +146% |
| HORIZON | INDEMNITY | $1,099.19 | ↑ +147% |
| HORIZON | PPO | $1,109.21 | ↑ +149% |
| QUALCARE | WORKERS COMP | $1,130.80 | ↑ +154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,156.50 | ↑ +160% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Brain image w/flow < 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $473.22 | $126.37 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $254.75 – $1,021.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $282.81 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $254.75 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $139.40 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $191.25 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $119.00 – $1,021.05 |
| Southern Ocean Medical Center | Manahawkin | $439.15 | $254.75 – $696.92 |