Established Patient Office Visit (level 4) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$495.00
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.
$89.10 with CLOVER vs $481.73 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $89.10 | — |
| AETNA | MEDICARE ADVANTAGE | $89.60 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.57 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $111.00 | — |
| AETNA | MANAGED MEDICAID | $122.61 | — |
| UNITED HEALTHCARE | HMO | $280.62 | — |
| HORIZON | MANAGED MEDICAID | $301.41 | — |
| HORIZON | WORKERS COMP | $319.28 | — |
| HORIZON | PIP | $319.28 | — |
| OXFORD | ALL PRODUCTS | $324.27 | — |
| HORIZON | OMNIA | $338.04 | — |
| BERGEN RISK | ALL PRODUCTS | $371.25 | — |
| QUALCARE | HMO | $384.62 | — |
| QUALCARE | PPO | $384.62 | — |
| AETNA | ASA | $387.59 | — |
| CIGNA | BH | $396.00 | — |
| HORIZON | SHP | $413.37 | — |
| HORIZON | HMO | $417.43 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $420.75 | — |
| HORIZON | INDEMNITY | $423.42 | — |
| AMERIHEALTH | LOCAL HMO | $425.30 | — |
| HORIZON | PPO | $427.28 | — |
| QUALCARE | WORKERS COMP | $435.60 | — |
| AETNA | PPO | $445.50 | — |
| AETNA | HMO | $445.50 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $445.50 | — |
| AMERIHEALTH | REGIONAL HMO | $481.73 | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $198.00 | $53.25 – $209.94 |
| Trinitas Regional Medical Center | Elizabeth | $105.86 | $68.14 – $119.85 |
| Cooperman Barnabas Medical Center | Livingston | $119.51 | $119.85 – $119.85 |
| Community Medical Center | Toms River | $116.97 | $119.85 – $119.85 |
| Clara Maass Medical Center | Belleville | $112.17 | $119.85 – $119.85 |
| Childrens Specialized Hospital | Mountainside | $304.50 | $289.00 – $289.00 |
| Newark Beth Israel Medical Center | Newark | $117.48 | $70.14 – $119.85 |
| Jersey City Medical Center | Jersey City | $117.19 | $88.18 – $119.85 |