Electrophysiology evaluation at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,343.72
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.
$3,887.00
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.
$637.47 with AETNA vs $30,736.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $637.47 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $699.66 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $726.87 | ↓ -46% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,343.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,343.72 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,343.72 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,343.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,410.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,464.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,612.46 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,289.44 | ↑ +70% |
| HORIZON | MANAGED MEDICAID | $2,366.79 | ↑ +76% |
| HORIZON | PIP | $2,507.12 | ↑ +87% |
| HORIZON | WORKERS COMP | $2,507.12 | ↑ +87% |
| HORIZON | OMNIA | $2,654.43 | ↑ +98% |
| BERGEN RISK | ALL PRODUCTS | $2,915.25 | ↑ +117% |
| AETNA | ASA | $3,043.52 | ↑ +126% |
| CIGNA | BH | $3,109.60 | ↑ +131% |
| HORIZON | SHP | $3,246.03 | ↑ +142% |
| HORIZON | HMO | $3,277.91 | ↑ +144% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,303.95 | ↑ +146% |
| HORIZON | INDEMNITY | $3,324.94 | ↑ +147% |
| AMERIHEALTH | LOCAL HMO | $3,339.71 | ↑ +149% |
| HORIZON | PPO | $3,355.26 | ↑ +150% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,498.30 | ↑ +160% |
| AETNA | HMO | $3,498.30 | ↑ +160% |
| AETNA | PPO | $3,498.30 | ↑ +160% |
| CIGNA | PPO | $3,717.14 | ↑ +177% |
| CIGNA | HMO | $3,717.14 | ↑ +177% |
| AMERIHEALTH | REGIONAL HMO | $3,782.83 | ↑ +182% |
| QUALCARE | PPO | $25,049.00 | ↑ +1764% |
| QUALCARE | WORKERS COMP | $25,049.00 | ↑ +1764% |
| QUALCARE | HMO | $25,049.00 | ↑ +1764% |
| OXFORD | ALL PRODUCTS | $30,393.00 | ↑ +2162% |
| UNITED HEALTHCARE | HMO | $30,736.00 | ↑ +2187% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,429.67 | $561.02 – $1,501.15 |
| Ocean University Medical Center | Brick | $1,326.75 | $104.00 – $1,592.09 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,344.88 | $104.00 – $1,344.88 |
| Jersey Shore University Medical Center | Neptune City | $1,343.72 | $543.07 – $1,612.46 |
| Palisades Medical Center | North Bergen | $1,429.67 | $561.02 – $1,558.34 |
| Raritan Bay Medical Center | Perth Amboy | $1,344.88 | $561.02 – $16,330.00 |
| Riverview Medical Center | Red Bank | $1,343.72 | $543.07 – $1,612.46 |
| Southern Ocean Medical Center | Manahawkin | $1,326.75 | $543.07 – $1,592.09 |