Ghs ed therapeutic lp, drain csf w fluoro at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$766.52
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.
?
What you pay up front if you don't use insurance.
$2,390.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$391.96 with AETNA vs $10,149.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $391.96 | ↓ -49% |
| CLOVER | MEDICARE ADVANTAGE | $430.20 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $446.93 | ↓ -42% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $766.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $766.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $766.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $766.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $804.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $835.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $919.83 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $1,354.89 | ↑ +77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,407.71 | ↑ +84% |
| HORIZON | MANAGED MEDICAID | $1,455.27 | ↑ +90% |
| HORIZON | PIP | $1,541.55 | ↑ +101% |
| OXFORD | ALL PRODUCTS | $1,565.69 | ↑ +104% |
| BERGEN RISK | ALL PRODUCTS | $1,792.50 | ↑ +134% |
| QUALCARE | PPO | $1,857.03 | ↑ +142% |
| QUALCARE | HMO | $1,857.03 | ↑ +142% |
| AETNA | ASA | $1,871.37 | ↑ +144% |
| CIGNA | BH | $1,912.00 | ↑ +149% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,031.50 | ↑ +165% |
| AMERIHEALTH | LOCAL HMO | $2,053.49 | ↑ +168% |
| QUALCARE | WORKERS COMP | $2,103.20 | ↑ +174% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,151.00 | ↑ +181% |
| CIGNA | HMO | $2,247.00 | ↑ +193% |
| AMERIHEALTH | REGIONAL HMO | $2,325.95 | ↑ +203% |
| CIGNA | PPO | $2,518.00 | ↑ +228% |
| HORIZON | OMNIA | $5,853.00 | ↑ +664% |
| HORIZON | SHP | $6,707.00 | ↑ +775% |
| HORIZON | HMO | $7,231.00 | ↑ +843% |
| HORIZON | INDEMNITY | $7,331.00 | ↑ +856% |
| HORIZON | PPO | $7,402.00 | ↑ +866% |
| AETNA | PPO | $8,419.00 | ↑ +998% |
| AETNA | HMO | $8,419.00 | ↑ +998% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1224% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ed therapeutic lp, drain csf w fluoro at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $815.55 | $216.67 – $856.33 |
| Ocean University Medical Center | Brick | $756.84 | $211.28 – $908.21 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $767.19 | $216.67 – $767.19 |
| Jersey Shore University Medical Center | Neptune City | $766.52 | $211.28 – $919.83 |
| Palisades Medical Center | North Bergen | $815.55 | $216.67 – $888.95 |
| Raritan Bay Medical Center | Perth Amboy | $767.19 | $216.67 – $920.63 |
| Riverview Medical Center | Red Bank | $766.52 | $211.28 – $919.83 |
| Southern Ocean Medical Center | Manahawkin | $756.84 | $211.28 – $908.21 |