healthcosts.net
Diagnostic Mammogram (both breasts) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$207.95
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.
?
What you pay up front if you don't use insurance.
$1,045.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$157.14 with AMERIHEALTH vs $940.50 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $157.14 | ↓ -24% |
| AMERIHEALTH | REGIONAL HMO | $159.86 | ↓ -23% |
| CLOVER | MEDICARE ADVANTAGE | $188.10 | ↓ -10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $191.13 | ↓ -8% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $195.42 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $207.95 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $207.95 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $207.95 | ↑ +0% |
| VACCN | ALL PRODUCTS | $207.95 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $207.95 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $218.35 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $226.67 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $249.54 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $316.48 | ↑ +52% |
| OXFORD | ALL PRODUCTS | $316.48 | ↑ +52% |
| AETNA | PPO | $338.14 | ↑ +63% |
| AETNA | HMO | $338.14 | ↑ +63% |
| CIGNA | PPO | $413.48 | ↑ +99% |
| CIGNA | HMO | $413.48 | ↑ +99% |
| HORIZON | MANAGED MEDICAID | $636.30 | ↑ +206% |
| HORIZON | PIP | $674.03 | ↑ +224% |
| HORIZON | WORKERS COMP | $674.03 | ↑ +224% |
| HORIZON | OMNIA | $713.63 | ↑ +243% |
| BERGEN RISK | ALL PRODUCTS | $783.75 | ↑ +277% |
| QUALCARE | HMO | $811.97 | ↑ +290% |
| QUALCARE | PPO | $811.97 | ↑ +290% |
| AETNA | ASA | $818.24 | ↑ +293% |
| CIGNA | BH | $836.00 | ↑ +302% |
| HORIZON | SHP | $872.68 | ↑ +320% |
| HORIZON | HMO | $881.25 | ↑ +324% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $888.25 | ↑ +327% |
| HORIZON | INDEMNITY | $893.89 | ↑ +330% |
| HORIZON | PPO | $902.04 | ↑ +334% |
| QUALCARE | WORKERS COMP | $919.60 | ↑ +342% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $940.50 | ↑ +352% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $207.95 | $121.57 – $990.00 |
| Ocean University Medical Center | Brick | $207.95 | $148.39 – $940.50 |