#cf-97variants at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$556.60
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.
$1,530.00
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.
$153.00 with HORIZON vs $2,550.54 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $153.00 | ↓ -73% |
| WELLCARE | MEDICARE ADVANTAGE | $556.60 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $556.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $556.60 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $556.60 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $556.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $556.60 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $556.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $584.43 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $606.69 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $667.92 | ↑ +20% |
| QUALCARE | HMO | $758.88 | ↑ +36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $874.42 | ↑ +57% |
| HORIZON | PIP | $986.85 | ↑ +77% |
| HORIZON | WORKERS COMP | $986.85 | ↑ +77% |
| HORIZON | OMNIA | $1,044.84 | ↑ +88% |
| AETNA | HMO | $1,052.64 | ↑ +89% |
| AETNA | PPO | $1,052.64 | ↑ +89% |
| OXFORD | ALL PRODUCTS | $1,142.42 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $1,142.42 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $1,147.50 | ↑ +106% |
| QUALCARE | PPO | $1,188.81 | ↑ +114% |
| AETNA | ASA | $1,197.99 | ↑ +115% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,224.00 | ↑ +120% |
| CIGNA | BH | $1,224.00 | ↑ +120% |
| HORIZON | SHP | $1,277.70 | ↑ +130% |
| HORIZON | HMO | $1,290.25 | ↑ +132% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,300.50 | ↑ +134% |
| HORIZON | INDEMNITY | $1,308.76 | ↑ +135% |
| AMERIHEALTH | LOCAL HMO | $1,314.58 | ↑ +136% |
| HORIZON | PPO | $1,320.70 | ↑ +137% |
| QUALCARE | WORKERS COMP | $1,346.40 | ↑ +142% |
| AMERIHEALTH | REGIONAL HMO | $1,489.00 | ↑ +168% |
| CIGNA | HMO | $2,550.54 | ↑ +358% |
| CIGNA | PPO | $2,550.54 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
#cf-97variants at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $556.60 | $445.28 – $2,499.41 |
| Ocean University Medical Center | Brick | $556.60 | $489.81 – $2,550.54 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $556.60 | $489.81 – $2,619.49 |
| Jersey Shore University Medical Center | Neptune City | $556.60 | $445.28 – $2,550.54 |
| Palisades Medical Center | North Bergen | $556.60 | $556.60 – $2,550.54 |
| Raritan Bay Medical Center | Perth Amboy | $556.60 | $556.60 – $2,550.54 |
| Riverview Medical Center | Red Bank | $556.60 | $556.60 – $2,550.54 |
| Southern Ocean Medical Center | Manahawkin | $556.60 | $556.60 – $2,550.54 |