healthcosts.net
ER Visit (level 1, minor) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$649.00
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.
$97.00 with UNITED HEALTHCARE vs $1,599.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $97.00 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $106.44 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $116.82 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $121.36 | ↑ +25% |
| HORIZON | MANAGED MEDICAID | $173.00 | ↑ +78% |
| HORIZON | OMNIA | $312.00 | ↑ +220% |
| HORIZON | SHP | $361.00 | ↑ +270% |
| QUALCARE | HMO | $368.00 | ↑ +278% |
| OXFORD | ALL PRODUCTS | $380.00 | ↑ +290% |
| HORIZON | HMO | $385.00 | ↑ +295% |
| UNITED HEALTHCARE | HMO | $387.00 | ↑ +297% |
| HORIZON | INDEMNITY | $393.00 | ↑ +303% |
| HORIZON | PPO | $394.00 | ↑ +304% |
| CIGNA | PPO | $410.00 | ↑ +321% |
| CIGNA | HMO | $410.00 | ↑ +321% |
| HORIZON | PIP | $418.61 | ↑ +330% |
| HORIZON | WORKERS COMP | $418.61 | ↑ +330% |
| AETNA | PPO | $423.00 | ↑ +334% |
| AETNA | HMO | $423.00 | ↑ +334% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $481.00 | ↑ +394% |
| QUALCARE | PPO | $504.27 | ↑ +417% |
| AETNA | ASA | $508.17 | ↑ +421% |
| CIGNA | BH | $519.20 | ↑ +433% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $551.65 | ↑ +466% |
| QUALCARE | WORKERS COMP | $571.12 | ↑ +486% |
| AMERIHEALTH | LOCAL HMO | $1,416.00 | ↑ +1353% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +1462% |
| AMERIHEALTH | REGIONAL HMO | $1,599.00 | ↑ +1541% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $103.69 | $19.04 – $1,522.00 |
| Ocean University Medical Center | Brick | $96.23 | $18.61 – $1,522.00 |