Eeg without vid ea 12-26hr intmt at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$587.30
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.
$3,300.00
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.
$541.20 with AETNA vs $3,211.56 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 | $541.20 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $587.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $587.30 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $594.00 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $616.66 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $617.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $640.16 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $704.76 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,943.70 | ↑ +231% |
| UNITED HEALTHCARE | HMO | $1,960.20 | ↑ +234% |
| HORIZON | MANAGED MEDICAID | $2,009.37 | ↑ +242% |
| OXFORD | ALL PRODUCTS | $2,077.02 | ↑ +254% |
| HORIZON | PIP | $2,128.50 | ↑ +262% |
| HORIZON | WORKERS COMP | $2,128.50 | ↑ +262% |
| HORIZON | OMNIA | $2,253.57 | ↑ +284% |
| BERGEN RISK | ALL PRODUCTS | $2,475.00 | ↑ +321% |
| QUALCARE | HMO | $2,564.10 | ↑ +337% |
| QUALCARE | PPO | $2,564.10 | ↑ +337% |
| AETNA | ASA | $2,583.90 | ↑ +340% |
| CIGNA | BH | $2,640.00 | ↑ +350% |
| HORIZON | SHP | $2,755.83 | ↑ +369% |
| HORIZON | HMO | $2,782.89 | ↑ +374% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,805.00 | ↑ +378% |
| HORIZON | INDEMNITY | $2,822.82 | ↑ +381% |
| AMERIHEALTH | LOCAL HMO | $2,835.36 | ↑ +383% |
| HORIZON | PPO | $2,848.56 | ↑ +385% |
| QUALCARE | WORKERS COMP | $2,904.00 | ↑ +394% |
| AETNA | PPO | $2,970.00 | ↑ +406% |
| AETNA | HMO | $2,970.00 | ↑ +406% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,970.00 | ↑ +406% |
| CIGNA | HMO | $3,155.79 | ↑ +437% |
| CIGNA | PPO | $3,155.79 | ↑ +437% |
| AMERIHEALTH | REGIONAL HMO | $3,211.56 | ↑ +447% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Eeg without vid ea 12-26hr intmt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $624.87 | $499.89 – $4,782.00 |
| Ocean University Medical Center | Brick | $579.88 | $104.00 – $1,637.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $104.00 – $7,013.00 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $587.30 – $1,637.17 |
| Palisades Medical Center | North Bergen | $624.87 | $624.87 – $1,998.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $587.81 – $1,671.74 |
| Riverview Medical Center | Red Bank | $587.30 | $587.30 – $1,637.17 |
| Southern Ocean Medical Center | Manahawkin | $579.88 | $579.88 – $1,637.17 |