Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$498.64
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.
$1,494.00
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.
$245.02 with AETNA vs $1,453.96 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 | $245.02 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $268.92 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $279.38 | ↓ -44% |
| WELLCARE | MEDICARE ADVANTAGE | $498.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $498.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $498.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $498.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $523.57 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $543.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $598.37 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $846.95 | ↑ +70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $879.97 | ↑ +76% |
| HORIZON | MANAGED MEDICAID | $909.70 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $940.32 | ↑ +89% |
| HORIZON | PIP | $963.63 | ↑ +93% |
| HORIZON | WORKERS COMP | $963.63 | ↑ +93% |
| HORIZON | OMNIA | $1,020.25 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $1,120.50 | ↑ +125% |
| QUALCARE | PPO | $1,160.84 | ↑ +133% |
| QUALCARE | HMO | $1,160.84 | ↑ +133% |
| AETNA | ASA | $1,169.80 | ↑ +135% |
| CIGNA | BH | $1,195.20 | ↑ +140% |
| HORIZON | SHP | $1,247.64 | ↑ +150% |
| HORIZON | HMO | $1,259.89 | ↑ +153% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,269.90 | ↑ +155% |
| HORIZON | INDEMNITY | $1,277.97 | ↑ +156% |
| AMERIHEALTH | LOCAL HMO | $1,283.64 | ↑ +157% |
| HORIZON | PPO | $1,289.62 | ↑ +159% |
| QUALCARE | WORKERS COMP | $1,314.72 | ↑ +164% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,344.60 | ↑ +170% |
| AETNA | PPO | $1,344.60 | ↑ +170% |
| AETNA | HMO | $1,344.60 | ↑ +170% |
| CIGNA | PPO | $1,428.71 | ↑ +187% |
| CIGNA | HMO | $1,428.71 | ↑ +187% |
| AMERIHEALTH | REGIONAL HMO | $1,453.96 | ↑ +192% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $530.54 | $424.43 – $906.86 |
| Ocean University Medical Center | Brick | $492.34 | $450.50 – $888.11 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $499.07 | $450.50 – $906.86 |
| Jersey Shore University Medical Center | Neptune City | $498.64 | $498.64 – $888.11 |
| Palisades Medical Center | North Bergen | $530.54 | $530.54 – $906.86 |
| Raritan Bay Medical Center | Perth Amboy | $499.07 | $499.07 – $1,125.00 |
| Riverview Medical Center | Red Bank | $498.64 | $498.64 – $888.11 |
| Southern Ocean Medical Center | Manahawkin | $492.34 | $492.34 – $888.11 |