Ghs musc tst done w/n tst non ext 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.
?
What you pay up front if you don't use insurance.
$195.00
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.
$31.98 with AETNA vs $978.00 with OXFORD — 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 | $31.98 | — |
| CLOVER | MEDICARE ADVANTAGE | $35.10 | — |
| AETNA | MEDICARE ADVANTAGE | $35.30 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $36.47 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $114.86 | — |
| HORIZON | MANAGED MEDICAID | $118.74 | — |
| HORIZON | WORKERS COMP | $125.78 | — |
| HORIZON | PIP | $125.78 | — |
| HORIZON | OMNIA | $133.17 | — |
| BERGEN RISK | ALL PRODUCTS | $146.25 | — |
| QUALCARE | HMO | $151.52 | — |
| QUALCARE | PPO | $151.52 | — |
| AETNA | ASA | $152.69 | — |
| CIGNA | BH | $156.00 | — |
| HORIZON | SHP | $162.84 | — |
| HORIZON | HMO | $164.44 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $165.75 | — |
| HORIZON | INDEMNITY | $166.80 | — |
| AMERIHEALTH | LOCAL HMO | $167.54 | — |
| HORIZON | PPO | $168.32 | — |
| QUALCARE | WORKERS COMP | $171.60 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $175.50 | — |
| AETNA | HMO | $175.50 | — |
| AETNA | PPO | $175.50 | — |
| CIGNA | PPO | $186.48 | — |
| CIGNA | HMO | $186.48 | — |
| AMERIHEALTH | REGIONAL HMO | $189.77 | — |
| UNITED HEALTHCARE | HMO | $485.00 | — |
| OXFORD | ALL PRODUCTS | $978.00 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | 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
Ghs musc tst done w/n tst non ext at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | not published | $146.49 – $4,692.00 |
| Ocean University Medical Center | Brick | not published | $104.00 – $908.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $104.00 – $4,008.00 |
| Jersey Shore University Medical Center | Neptune City | not published | $139.78 – $4,246.00 |
| Palisades Medical Center | North Bergen | not published | $67.04 – $1,301.00 |
| Raritan Bay Medical Center | Perth Amboy | not published | $85.08 – $1,716.00 |
| Riverview Medical Center | Red Bank | not published | $139.78 – $1,040.00 |
| Southern Ocean Medical Center | Manahawkin | not published | $139.78 – $1,522.00 |