Dup scan/lwr xtr vasc stdy bilat 93924 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$173.18
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.
$1,540.00
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.
$173.18 with HORIZON BCBS BRAVEN vs $1,498.73 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $252.56 | ↑ +46% |
| CLOVER | MEDICARE ADVANTAGE | $277.20 | ↑ +60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $287.98 | ↑ +66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $907.06 | ↑ +424% |
| UNITED HEALTHCARE | HMO | $914.76 | ↑ +428% |
| HORIZON | MANAGED MEDICAID | $937.71 | ↑ +441% |
| OXFORD | ALL PRODUCTS | $969.28 | ↑ +460% |
| HORIZON | PIP | $993.30 | ↑ +474% |
| HORIZON | WORKERS COMP | $993.30 | ↑ +474% |
| HORIZON | OMNIA | $1,051.67 | ↑ +507% |
| BERGEN RISK | ALL PRODUCTS | $1,155.00 | ↑ +567% |
| QUALCARE | HMO | $1,196.58 | ↑ +591% |
| QUALCARE | PPO | $1,196.58 | ↑ +591% |
| AETNA | ASA | $1,205.82 | ↑ +596% |
| CIGNA | BH | $1,232.00 | ↑ +611% |
| HORIZON | SHP | $1,286.05 | ↑ +643% |
| HORIZON | HMO | $1,298.68 | ↑ +650% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,309.00 | ↑ +656% |
| HORIZON | INDEMNITY | $1,317.32 | ↑ +661% |
| AMERIHEALTH | LOCAL HMO | $1,323.17 | ↑ +664% |
| HORIZON | PPO | $1,329.33 | ↑ +668% |
| QUALCARE | WORKERS COMP | $1,355.20 | ↑ +683% |
| AETNA | PPO | $1,386.00 | ↑ +700% |
| AETNA | HMO | $1,386.00 | ↑ +700% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,386.00 | ↑ +700% |
| CIGNA | HMO | $1,472.70 | ↑ +750% |
| CIGNA | PPO | $1,472.70 | ↑ +750% |
| AMERIHEALTH | REGIONAL HMO | $1,498.73 | ↑ +765% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/lwr xtr vasc stdy bilat 93924 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $4,324.00 |
| Ocean University Medical Center | Brick | $170.99 | $104.00 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $104.00 – $1,573.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $1,271.00 |
| Palisades Medical Center | North Bergen | $184.26 | $184.26 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $1,190.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $1,036.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $170.99 – $1,114.00 |