Ecg external < 48 hours scanning analysis w/report at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$65.75
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.
$1,925.00
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.
$65.75 with HORIZON BCBS BRAVEN vs $1,873.41 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 | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $315.70 | ↑ +380% |
| CLOVER | MEDICARE ADVANTAGE | $346.50 | ↑ +427% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $359.98 | ↑ +447% |
| OXFORD | ALL PRODUCTS | $1,008.00 | ↑ +1433% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,133.83 | ↑ +1624% |
| HORIZON | MANAGED MEDICAID | $1,172.13 | ↑ +1683% |
| HORIZON | PIP | $1,241.63 | ↑ +1788% |
| HORIZON | WORKERS COMP | $1,241.63 | ↑ +1788% |
| HORIZON | OMNIA | $1,314.58 | ↑ +1899% |
| BERGEN RISK | ALL PRODUCTS | $1,443.75 | ↑ +2096% |
| QUALCARE | PPO | $1,495.73 | ↑ +2175% |
| QUALCARE | HMO | $1,495.73 | ↑ +2175% |
| AETNA | ASA | $1,507.28 | ↑ +2192% |
| CIGNA | BH | $1,540.00 | ↑ +2242% |
| HORIZON | SHP | $1,607.57 | ↑ +2345% |
| HORIZON | HMO | $1,623.35 | ↑ +2369% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,636.25 | ↑ +2389% |
| HORIZON | INDEMNITY | $1,646.65 | ↑ +2404% |
| AMERIHEALTH | LOCAL HMO | $1,653.96 | ↑ +2416% |
| HORIZON | PPO | $1,661.66 | ↑ +2427% |
| QUALCARE | WORKERS COMP | $1,694.00 | ↑ +2476% |
| UNITED HEALTHCARE | HMO | $1,702.00 | ↑ +2489% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,732.50 | ↑ +2535% |
| AETNA | HMO | $1,732.50 | ↑ +2535% |
| AETNA | PPO | $1,732.50 | ↑ +2535% |
| CIGNA | PPO | $1,840.88 | ↑ +2700% |
| CIGNA | HMO | $1,840.88 | ↑ +2700% |
| AMERIHEALTH | REGIONAL HMO | $1,873.41 | ↑ +2749% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ecg external < 48 hours scanning analysis w/report at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $69.95 | $55.96 – $5,218.00 |
| Ocean University Medical Center | Brick | $64.92 | $59.40 – $1,008.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $59.40 – $4,913.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $61.33 – $1,063.00 |
| Palisades Medical Center | North Bergen | $69.95 | $64.94 – $535.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $64.94 – $1,297.00 |
| Riverview Medical Center | Red Bank | $65.75 | $61.33 – $941.00 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $61.33 – $1,016.00 |