Cmbn ant pst colprhy at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$5,463.96
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.
$5,655.00
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.
$927.42 with AETNA vs $13,844.00 with UNITED HEALTHCARE — 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 | $927.42 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $1,017.90 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,057.49 | ↓ -81% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -78% |
| HORIZON | MANAGED MEDICAID | $1,839.00 | ↓ -66% |
| HORIZON | WORKERS COMP | $3,647.48 | ↓ -33% |
| HORIZON | PIP | $3,647.48 | ↓ -33% |
| HORIZON | OMNIA | $3,861.80 | ↓ -29% |
| BERGEN RISK | ALL PRODUCTS | $4,241.25 | ↓ -22% |
| QUALCARE | PPO | $4,393.94 | ↓ -20% |
| AETNA | ASA | $4,427.87 | ↓ -19% |
| CIGNA | BH | $4,524.00 | ↓ -17% |
| HORIZON | SHP | $4,722.49 | ↓ -14% |
| HORIZON | HMO | $4,768.86 | ↓ -13% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,806.75 | ↓ -12% |
| HORIZON | INDEMNITY | $4,837.29 | ↓ -11% |
| AMERIHEALTH | LOCAL HMO | $4,858.78 | ↓ -11% |
| HORIZON | PPO | $4,881.40 | ↓ -11% |
| QUALCARE | WORKERS COMP | $4,976.40 | ↓ -9% |
| CIGNA | HMO | $5,025.00 | ↓ -8% |
| VACCN | ALL PRODUCTS | $5,463.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,463.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,463.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,463.96 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $5,503.45 | ↑ +1% |
| CIGNA | PPO | $5,631.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,737.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $5,955.72 | ↑ +9% |
| QUALCARE | HMO | $6,256.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $6,556.75 | ↑ +20% |
| AETNA | HMO | $8,419.00 | ↑ +54% |
| AETNA | PPO | $8,419.00 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +153% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cmbn ant pst colprhy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $5,813.46 | $1,662.01 – $6,104.13 |
| Ocean University Medical Center | Brick | $5,394.95 | $1,614.00 – $6,473.94 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,468.70 | $484.00 – $5,468.70 |
| Jersey Shore University Medical Center | Neptune City | $5,463.96 | $1,614.00 – $6,556.75 |
| Palisades Medical Center | North Bergen | $5,813.46 | $1,662.01 – $6,336.67 |
| Raritan Bay Medical Center | Perth Amboy | $5,468.70 | $1,662.01 – $6,562.44 |
| Riverview Medical Center | Red Bank | $5,463.96 | $1,614.00 – $6,556.75 |
| Southern Ocean Medical Center | Manahawkin | $5,394.95 | $1,614.00 – $6,473.94 |