healthcosts.net
Chest X-ray at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$497.00
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.
$36.57 with UNITED HEALTHCARE vs $437.36 with QUALCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.57 | ↓ -62% |
| AETNA | PPO | $54.81 | ↓ -44% |
| AETNA | HMO | $54.81 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $67.63 | ↓ -31% |
| AMERIHEALTH | REGIONAL HMO | $68.80 | ↓ -29% |
| AETNA | MANAGED MEDICAID | $81.51 | ↓ -16% |
| CIGNA | PPO | $82.54 | ↓ -15% |
| CIGNA | HMO | $82.54 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $89.46 | ↓ -8% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.94 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | HMO | $246.51 | ↑ +153% |
| HORIZON | MANAGED MEDICAID | $302.62 | ↑ +211% |
| HORIZON | PIP | $320.57 | ↑ +229% |
| HORIZON | WORKERS COMP | $320.57 | ↑ +229% |
| HORIZON | OMNIA | $339.40 | ↑ +248% |
| BERGEN RISK | ALL PRODUCTS | $372.75 | ↑ +282% |
| QUALCARE | PPO | $386.17 | ↑ +296% |
| AETNA | ASA | $389.15 | ↑ +299% |
| CIGNA | BH | $397.60 | ↑ +308% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $397.60 | ↑ +308% |
| HORIZON | SHP | $415.04 | ↑ +326% |
| HORIZON | HMO | $419.12 | ↑ +330% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $422.45 | ↑ +333% |
| HORIZON | INDEMNITY | $425.13 | ↑ +336% |
| HORIZON | PPO | $429.01 | ↑ +340% |
| QUALCARE | WORKERS COMP | $437.36 | ↑ +349% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Chest X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $198.80 | $72.07 – $72.07 |
| Hackensack University Medical Center | Hackensack | $103.69 | $27.96 – $438.35 |
| Ocean University Medical Center | Brick | $96.23 | $36.57 – $422.45 |