Bundled special stain group 2 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$142.67
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.
$1,519.00
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.
$33.46 with AETNA vs $198.53 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $33.46 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $38.15 | ↓ -73% |
| OXFORD | ALL PRODUCTS | $69.46 | ↓ -51% |
| UNITED HEALTHCARE | HMO | $69.46 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $83.22 | ↓ -42% |
| QUALCARE | HMO | $101.18 | ↓ -29% |
| HORIZON | MANAGED MEDICAID | $124.22 | ↓ -13% |
| HORIZON | WORKERS COMP | $131.58 | ↓ -8% |
| HORIZON | PIP | $131.58 | ↓ -8% |
| HORIZON | OMNIA | $139.31 | ↓ -2% |
| AETNA | PPO | $140.35 | ↓ -2% |
| AETNA | HMO | $140.35 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $153.00 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| QUALCARE | PPO | $158.51 | ↑ +11% |
| AETNA | ASA | $159.73 | ↑ +12% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $163.20 | ↑ +14% |
| CIGNA | BH | $163.20 | ↑ +14% |
| HORIZON | SHP | $170.36 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| HORIZON | HMO | $172.03 | ↑ +21% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $173.40 | ↑ +22% |
| HORIZON | INDEMNITY | $174.50 | ↑ +22% |
| AMERIHEALTH | LOCAL HMO | $175.28 | ↑ +23% |
| HORIZON | PPO | $176.09 | ↑ +23% |
| QUALCARE | WORKERS COMP | $179.52 | ↑ +26% |
| CIGNA | PPO | $195.09 | ↑ +37% |
| CIGNA | HMO | $195.09 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $198.53 | ↑ +39% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 2 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $151.80 | $14.87 – $162.03 |
| Ocean University Medical Center | Brick | $140.87 | $11.00 – $153.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $11.00 – $162.03 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $75.63 – $155.51 |
| Palisades Medical Center | North Bergen | $151.80 | $16.40 – $165.46 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $69.46 – $162.03 |
| Riverview Medical Center | Red Bank | $142.67 | $11.50 – $155.51 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $69.46 – $153.55 |