Gastroesophageal reflux study at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$444.77
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.
$1,667.00
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.
$248.64 with AMERIHEALTH vs $1,500.30 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $248.64 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $252.94 | ↓ -43% |
| AETNA | MANAGED MEDICAID | $273.39 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $300.06 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $311.73 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $318.16 | ↓ -28% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| AETNA | PPO | $613.30 | ↑ +38% |
| AETNA | HMO | $613.30 | ↑ +38% |
| CIGNA | PPO | $761.12 | ↑ +71% |
| CIGNA | HMO | $761.12 | ↑ +71% |
| HORIZON | MANAGED MEDICAID | $1,015.04 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +130% |
| HORIZON | PIP | $1,075.22 | ↑ +142% |
| HORIZON | WORKERS COMP | $1,075.22 | ↑ +142% |
| HORIZON | OMNIA | $1,138.39 | ↑ +156% |
| BERGEN RISK | ALL PRODUCTS | $1,250.25 | ↑ +181% |
| QUALCARE | HMO | $1,295.26 | ↑ +191% |
| QUALCARE | PPO | $1,295.26 | ↑ +191% |
| AETNA | ASA | $1,305.26 | ↑ +193% |
| CIGNA | BH | $1,333.60 | ↑ +200% |
| HORIZON | SHP | $1,392.11 | ↑ +213% |
| HORIZON | HMO | $1,405.78 | ↑ +216% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,416.95 | ↑ +219% |
| HORIZON | INDEMNITY | $1,425.95 | ↑ +221% |
| HORIZON | PPO | $1,438.95 | ↑ +224% |
| QUALCARE | WORKERS COMP | $1,466.96 | ↑ +230% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,500.30 | ↑ +237% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Gastroesophageal reflux study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $473.22 | $47.57 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $248.64 – $1,021.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $222.33 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $244.34 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $52.48 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $72.00 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $44.80 – $1,021.05 |
| Southern Ocean Medical Center | Manahawkin | $439.15 | $248.64 – $761.12 |