Bundled special stain group 1 microorganisms at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$59.14
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.
$578.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$59.14 with VACCN vs $359.11 with AMERIHEALTH — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $59.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $59.14 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $60.52 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $64.46 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $69.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $70.97 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $93.29 | ↑ +58% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +73% |
| OXFORD | ALL PRODUCTS | $102.13 | ↑ +73% |
| QUALCARE | HMO | $183.02 | ↑ +209% |
| HORIZON | MANAGED MEDICAID | $224.68 | ↑ +280% |
| HORIZON | PIP | $238.01 | ↑ +302% |
| HORIZON | WORKERS COMP | $238.01 | ↑ +302% |
| HORIZON | OMNIA | $251.99 | ↑ +326% |
| AETNA | HMO | $253.87 | ↑ +329% |
| AETNA | PPO | $253.87 | ↑ +329% |
| BERGEN RISK | ALL PRODUCTS | $276.75 | ↑ +368% |
| QUALCARE | PPO | $286.71 | ↑ +385% |
| AETNA | ASA | $288.93 | ↑ +389% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $295.20 | ↑ +399% |
| CIGNA | BH | $295.20 | ↑ +399% |
| HORIZON | SHP | $308.15 | ↑ +421% |
| HORIZON | HMO | $311.18 | ↑ +426% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $313.65 | ↑ +430% |
| HORIZON | INDEMNITY | $315.64 | ↑ +434% |
| AMERIHEALTH | LOCAL HMO | $317.04 | ↑ +436% |
| HORIZON | PPO | $318.52 | ↑ +439% |
| QUALCARE | WORKERS COMP | $324.72 | ↑ +449% |
| CIGNA | PPO | $352.87 | ↑ +497% |
| CIGNA | HMO | $352.87 | ↑ +497% |
| AMERIHEALTH | REGIONAL HMO | $359.11 | ↑ +507% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $62.92 | $19.33 – $218.71 |
| Ocean University Medical Center | Brick | $58.39 | $14.30 – $207.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $14.30 – $218.71 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $207.64 |
| Palisades Medical Center | North Bergen | $62.92 | $21.32 – $218.71 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $218.71 |
| Riverview Medical Center | Red Bank | $59.14 | $14.95 – $207.64 |
| Southern Ocean Medical Center | Manahawkin | $58.39 | $58.39 – $207.64 |