Consultation/report referred material w/preparation of slides at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$59.14
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.
$355.00
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.
$58.22 with AETNA vs $345.49 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 | $58.22 | ↓ -2% |
| VACCN | ALL PRODUCTS | $59.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $59.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $64.46 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $66.39 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $70.97 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $88.12 | ↑ +49% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +73% |
| OXFORD | ALL PRODUCTS | $102.13 | ↑ +73% |
| QUALCARE | HMO | $176.08 | ↑ +198% |
| HORIZON | MANAGED MEDICAID | $216.16 | ↑ +266% |
| HORIZON | PIP | $228.98 | ↑ +287% |
| HORIZON | WORKERS COMP | $228.98 | ↑ +287% |
| HORIZON | OMNIA | $242.43 | ↑ +310% |
| AETNA | HMO | $244.24 | ↑ +313% |
| AETNA | PPO | $244.24 | ↑ +313% |
| BERGEN RISK | ALL PRODUCTS | $266.25 | ↑ +350% |
| QUALCARE | PPO | $275.84 | ↑ +366% |
| AETNA | ASA | $277.97 | ↑ +370% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $284.00 | ↑ +380% |
| CIGNA | BH | $284.00 | ↑ +380% |
| HORIZON | SHP | $296.46 | ↑ +401% |
| HORIZON | HMO | $299.37 | ↑ +406% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $301.75 | ↑ +410% |
| HORIZON | INDEMNITY | $303.67 | ↑ +413% |
| AMERIHEALTH | LOCAL HMO | $305.02 | ↑ +416% |
| HORIZON | PPO | $306.44 | ↑ +418% |
| QUALCARE | WORKERS COMP | $312.40 | ↑ +428% |
| CIGNA | PPO | $339.49 | ↑ +474% |
| CIGNA | HMO | $339.49 | ↑ +474% |
| AMERIHEALTH | REGIONAL HMO | $345.49 | ↑ +484% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $62.92 | $49.06 – $215.42 |
| Ocean University Medical Center | Brick | $58.39 | $36.30 – $207.34 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $36.30 – $215.42 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $207.34 |
| Palisades Medical Center | North Bergen | $62.92 | $54.12 – $215.42 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $215.42 |
| Riverview Medical Center | Red Bank | $59.14 | $59.14 – $207.34 |
| Southern Ocean Medical Center | Manahawkin | $58.39 | $58.39 – $207.34 |