healthcosts.net
Diagnostic Mammogram (one breast) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$164.52
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.
$737.00
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.
$123.32 with AMERIHEALTH vs $663.30 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $123.32 | ↓ -25% |
| AMERIHEALTH | REGIONAL HMO | $125.46 | ↓ -24% |
| CLOVER | MEDICARE ADVANTAGE | $132.66 | ↓ -19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $137.82 | ↓ -16% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $149.42 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $164.52 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $164.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $164.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $164.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $164.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $172.75 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $179.33 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $197.42 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $247.52 | ↑ +50% |
| OXFORD | ALL PRODUCTS | $247.52 | ↑ +50% |
| AETNA | PPO | $264.30 | ↑ +61% |
| AETNA | HMO | $264.30 | ↑ +61% |
| CIGNA | PPO | $323.35 | ↑ +97% |
| CIGNA | HMO | $323.35 | ↑ +97% |
| HORIZON | MANAGED MEDICAID | $448.76 | ↑ +173% |
| HORIZON | PIP | $475.37 | ↑ +189% |
| HORIZON | WORKERS COMP | $475.37 | ↑ +189% |
| HORIZON | OMNIA | $503.30 | ↑ +206% |
| BERGEN RISK | ALL PRODUCTS | $552.75 | ↑ +236% |
| QUALCARE | HMO | $572.65 | ↑ +248% |
| QUALCARE | PPO | $572.65 | ↑ +248% |
| AETNA | ASA | $577.07 | ↑ +251% |
| CIGNA | BH | $589.60 | ↑ +258% |
| HORIZON | SHP | $615.47 | ↑ +274% |
| HORIZON | HMO | $621.51 | ↑ +278% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $626.45 | ↑ +281% |
| HORIZON | INDEMNITY | $630.43 | ↑ +283% |
| HORIZON | PPO | $636.18 | ↑ +287% |
| QUALCARE | WORKERS COMP | $648.56 | ↑ +294% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $663.30 | ↑ +303% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $164.52 | $95.83 – $758.70 |
| Ocean University Medical Center | Brick | $164.52 | $104.65 – $674.40 |