_fragile x methylation-sendout at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$44.89
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.
$1,047.00
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.
$44.89 with SEOUL MEDICAL GROUP vs $1,018.94 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 |
|---|---|---|---|
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.89 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $44.89 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $44.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $44.89 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $44.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $44.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $44.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $47.13 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $48.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $53.87 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.52 | ↑ +57% |
| OXFORD | ALL PRODUCTS | $92.14 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $92.14 | ↑ +105% |
| HORIZON | MANAGED MEDICAID | $104.70 | ↑ +133% |
| CIGNA | PPO | $205.70 | ↑ +358% |
| CIGNA | HMO | $205.70 | ↑ +358% |
| QUALCARE | HMO | $519.31 | ↑ +1057% |
| HORIZON | PIP | $675.32 | ↑ +1404% |
| HORIZON | WORKERS COMP | $675.32 | ↑ +1404% |
| HORIZON | OMNIA | $715.00 | ↑ +1493% |
| AETNA | PPO | $720.34 | ↑ +1505% |
| AETNA | HMO | $720.34 | ↑ +1505% |
| BERGEN RISK | ALL PRODUCTS | $785.25 | ↑ +1649% |
| QUALCARE | PPO | $813.52 | ↑ +1712% |
| AETNA | ASA | $819.80 | ↑ +1726% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $837.60 | ↑ +1766% |
| CIGNA | BH | $837.60 | ↑ +1766% |
| HORIZON | SHP | $874.35 | ↑ +1848% |
| HORIZON | HMO | $882.94 | ↑ +1867% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $889.95 | ↑ +1883% |
| HORIZON | INDEMNITY | $895.60 | ↑ +1895% |
| AMERIHEALTH | LOCAL HMO | $899.58 | ↑ +1904% |
| HORIZON | PPO | $903.77 | ↑ +1913% |
| QUALCARE | WORKERS COMP | $921.36 | ↑ +1952% |
| AMERIHEALTH | REGIONAL HMO | $1,018.94 | ↑ +2170% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $44.89 | $35.91 – $201.58 |
| Ocean University Medical Center | Brick | $44.89 | $39.50 – $205.70 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $44.89 | $39.50 – $211.26 |
| Jersey Shore University Medical Center | Neptune City | $44.89 | $35.91 – $205.70 |
| Palisades Medical Center | North Bergen | $44.89 | $44.89 – $205.70 |
| Raritan Bay Medical Center | Perth Amboy | $44.89 | $44.89 – $205.70 |
| Riverview Medical Center | Red Bank | $44.89 | $44.89 – $205.70 |
| Southern Ocean Medical Center | Manahawkin | $44.89 | $44.89 – $205.70 |