healthcosts.net
ER Visit (level 4) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$471.32
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.
$3,025.00
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.
$140.00 with AMERIGROUP vs $3,539.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $140.00 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $358.00 | ↓ -24% |
| HORIZON | MANAGED MEDICAID | $444.00 | ↓ -6% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $471.32 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $471.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $471.32 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $471.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $494.89 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $496.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $513.74 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $544.50 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $565.59 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $565.68 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $1,416.00 | ↑ +200% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +223% |
| AMERIHEALTH | REGIONAL HMO | $1,599.00 | ↑ +239% |
| CIGNA | HMO | $1,787.00 | ↑ +279% |
| HORIZON | PIP | $1,951.13 | ↑ +314% |
| HORIZON | WORKERS COMP | $1,951.13 | ↑ +314% |
| CIGNA | PPO | $2,080.00 | ↑ +341% |
| HORIZON | OMNIA | $2,100.00 | ↑ +346% |
| QUALCARE | HMO | $2,142.00 | ↑ +354% |
| QUALCARE | PPO | $2,142.00 | ↑ +354% |
| AETNA | ASA | $2,368.58 | ↑ +403% |
| CIGNA | BH | $2,420.00 | ↑ +413% |
| HORIZON | SHP | $2,425.00 | ↑ +415% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,571.25 | ↑ +446% |
| HORIZON | HMO | $2,594.00 | ↑ +450% |
| QUALCARE | WORKERS COMP | $2,662.00 | ↑ +465% |
| OXFORD | ALL PRODUCTS | $2,728.00 | ↑ +479% |
| UNITED HEALTHCARE | HMO | $2,773.00 | ↑ +488% |
| HORIZON | INDEMNITY | $2,888.00 | ↑ +513% |
| AETNA | PPO | $2,934.00 | ↑ +523% |
| AETNA | HMO | $2,934.00 | ↑ +523% |
| HORIZON | PPO | $3,166.00 | ↑ +572% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,539.00 | ↑ +651% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $501.47 | $200.68 – $2,580.60 |
| Ocean University Medical Center | Brick | $465.37 | $140.00 – $2,571.25 |