Caloric vstblr test w/rec at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$173.18
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.
$465.00
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.
$76.26 with AETNA vs $527.00 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 | $76.26 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $83.70 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $86.96 | ↓ -50% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $273.89 | ↑ +58% |
| HORIZON | MANAGED MEDICAID | $283.14 | ↑ +63% |
| OXFORD | ALL PRODUCTS | $292.67 | ↑ +69% |
| HORIZON | PIP | $299.93 | ↑ +73% |
| HORIZON | WORKERS COMP | $299.93 | ↑ +73% |
| UNITED HEALTHCARE | HMO | $304.00 | ↑ +76% |
| HORIZON | OMNIA | $317.55 | ↑ +83% |
| BERGEN RISK | ALL PRODUCTS | $348.75 | ↑ +101% |
| QUALCARE | HMO | $361.31 | ↑ +109% |
| QUALCARE | PPO | $361.31 | ↑ +109% |
| AETNA | ASA | $364.10 | ↑ +110% |
| CIGNA | BH | $372.00 | ↑ +115% |
| HORIZON | SHP | $388.32 | ↑ +124% |
| HORIZON | HMO | $392.13 | ↑ +126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $395.25 | ↑ +128% |
| HORIZON | INDEMNITY | $397.76 | ↑ +130% |
| HORIZON | PPO | $401.39 | ↑ +132% |
| QUALCARE | WORKERS COMP | $409.20 | ↑ +136% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $418.50 | ↑ +142% |
| AETNA | PPO | $418.50 | ↑ +142% |
| AETNA | HMO | $418.50 | ↑ +142% |
| CIGNA | HMO | $444.68 | ↑ +157% |
| CIGNA | PPO | $444.68 | ↑ +157% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +169% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +204% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Caloric vstblr test w/rec at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $184.26 | $38.88 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $37.38 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $22.96 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $37.38 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $22.62 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $28.70 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $37.38 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $37.38 – $465.00 |