External profiling gene expression oncology (breast) mrna 21 genes at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,873.00
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.
$7,530.00
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.
$3,734.88 with QUALCARE vs $17,747.44 with CIGNA — 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 |
|---|---|---|---|
| QUALCARE | HMO | $3,734.88 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $3,873.00 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $3,873.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,873.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $3,873.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,873.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $3,873.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,873.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,066.65 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,221.57 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $4,585.02 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $4,647.60 | ↑ +20% |
| HORIZON | PIP | $4,856.85 | ↑ +25% |
| HORIZON | WORKERS COMP | $4,856.85 | ↑ +25% |
| HORIZON | OMNIA | $5,142.24 | ↑ +33% |
| AETNA | PPO | $5,180.64 | ↑ +34% |
| AETNA | HMO | $5,180.64 | ↑ +34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,366.28 | ↑ +39% |
| BERGEN RISK | ALL PRODUCTS | $5,647.50 | ↑ +46% |
| QUALCARE | PPO | $5,850.81 | ↑ +51% |
| AETNA | ASA | $5,895.99 | ↑ +52% |
| CIGNA | BH | $6,024.00 | ↑ +56% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,024.00 | ↑ +56% |
| HORIZON | SHP | $6,288.30 | ↑ +62% |
| HORIZON | HMO | $6,350.05 | ↑ +64% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,400.50 | ↑ +65% |
| HORIZON | INDEMNITY | $6,441.16 | ↑ +66% |
| AMERIHEALTH | LOCAL HMO | $6,469.78 | ↑ +67% |
| HORIZON | PPO | $6,499.90 | ↑ +68% |
| QUALCARE | WORKERS COMP | $6,626.40 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $7,328.20 | ↑ +89% |
| OXFORD | ALL PRODUCTS | $7,949.33 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $7,949.33 | ↑ +105% |
| CIGNA | HMO | $17,747.44 | ↑ +358% |
| CIGNA | PPO | $17,747.44 | ↑ +358% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
External profiling gene expression oncology (breast) mrna 21 genes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $3,873.00 | $2,033.46 – $17,391.67 |
| Ocean University Medical Center | Brick | $3,873.00 | $3,408.24 – $17,747.44 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,873.00 | $3,408.24 – $18,227.27 |
| Jersey Shore University Medical Center | Neptune City | $3,873.00 | $3,098.40 – $17,747.44 |
| Palisades Medical Center | North Bergen | $3,873.00 | $2,243.14 – $17,747.44 |
| Raritan Bay Medical Center | Perth Amboy | $3,873.00 | $3,873.00 – $17,747.44 |
| Riverview Medical Center | Red Bank | $3,873.00 | $1,572.94 – $17,747.44 |
| Southern Ocean Medical Center | Manahawkin | $3,873.00 | $3,873.00 – $17,747.44 |