Cadd pump refill at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$233.20
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.
$699.00
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.
$114.64 with AETNA vs $10,149.00 with HORIZON — 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 | $114.64 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $125.82 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $130.71 | ↓ -44% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $233.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $233.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $233.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $233.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $244.86 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $254.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $279.85 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $396.26 | ↑ +70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $411.71 | ↑ +77% |
| HORIZON | MANAGED MEDICAID | $425.62 | ↑ +83% |
| HORIZON | PIP | $450.86 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $457.91 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $524.25 | ↑ +125% |
| QUALCARE | PPO | $543.12 | ↑ +133% |
| QUALCARE | HMO | $543.12 | ↑ +133% |
| AETNA | ASA | $547.32 | ↑ +135% |
| CIGNA | BH | $559.20 | ↑ +140% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $594.15 | ↑ +155% |
| AMERIHEALTH | LOCAL HMO | $600.58 | ↑ +158% |
| QUALCARE | WORKERS COMP | $615.12 | ↑ +164% |
| AETNA | HMO | $629.10 | ↑ +170% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $629.10 | ↑ +170% |
| AETNA | PPO | $629.10 | ↑ +170% |
| CIGNA | HMO | $668.45 | ↑ +187% |
| CIGNA | PPO | $668.45 | ↑ +187% |
| AMERIHEALTH | REGIONAL HMO | $680.27 | ↑ +192% |
| HORIZON | OMNIA | $5,853.00 | ↑ +2410% |
| HORIZON | SHP | $6,707.00 | ↑ +2776% |
| HORIZON | HMO | $7,231.00 | ↑ +3001% |
| HORIZON | INDEMNITY | $7,331.00 | ↑ +3044% |
| HORIZON | PPO | $7,402.00 | ↑ +3074% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +4252% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cadd pump refill at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $248.12 | $198.50 – $260.53 |
| Ocean University Medical Center | Brick | $230.26 | $210.69 – $276.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $233.41 | $210.69 – $233.41 |
| Jersey Shore University Medical Center | Neptune City | $233.20 | $212.47 – $279.85 |
| Palisades Medical Center | North Bergen | $248.12 | $111.26 – $270.45 |
| Raritan Bay Medical Center | Perth Amboy | $233.41 | $224.34 – $280.09 |
| Riverview Medical Center | Red Bank | $233.20 | $212.47 – $279.85 |
| Southern Ocean Medical Center | Manahawkin | $230.26 | $212.47 – $276.31 |