Ghs ot dds rom at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$10.05
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.
$25.00
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.
$4.50 with CLOVER vs $447.00 with OXFORD — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $4.50 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4.68 | ↓ -53% |
| VACCN | ALL PRODUCTS | $10.05 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $10.05 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $10.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $10.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $12.06 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14.73 | ↑ +47% |
| HORIZON | WORKERS COMP | $16.13 | ↑ +60% |
| HORIZON | PIP | $16.13 | ↑ +60% |
| HORIZON | OMNIA | $17.07 | ↑ +70% |
| QUALCARE | PPO | $19.43 | ↑ +93% |
| AETNA | ASA | $19.58 | ↑ +95% |
| CIGNA | BH | $20.00 | ↑ +99% |
| HORIZON | SHP | $20.88 | ↑ +108% |
| HORIZON | HMO | $21.08 | ↑ +110% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21.25 | ↑ +111% |
| HORIZON | INDEMNITY | $21.39 | ↑ +113% |
| AMERIHEALTH | LOCAL HMO | $21.48 | ↑ +114% |
| HORIZON | PPO | $21.58 | ↑ +115% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $22.50 | ↑ +124% |
| AETNA | HMO | $22.50 | ↑ +124% |
| AETNA | PPO | $22.50 | ↑ +124% |
| CIGNA | PPO | $23.91 | ↑ +138% |
| CIGNA | HMO | $23.91 | ↑ +138% |
| AMERIHEALTH | REGIONAL HMO | $24.33 | ↑ +142% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +497% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +2129% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +2129% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +2666% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +2796% |
| QUALCARE | HMO | $306.00 | ↑ +2945% |
| UNITED HEALTHCARE | HMO | $359.00 | ↑ +3472% |
| OXFORD | ALL PRODUCTS | $447.00 | ↑ +4348% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ot dds rom at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $10.05 | $8.04 – $406.00 |
| Ocean University Medical Center | Brick | $10.05 | $10.05 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $10.05 | $10.05 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $10.05 | $8.04 – $561.00 |
| Palisades Medical Center | North Bergen | $10.05 | $10.05 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $10.05 | $10.05 – $471.00 |
| Riverview Medical Center | Red Bank | $10.05 | $10.05 – $464.00 |
| Southern Ocean Medical Center | Manahawkin | $10.05 | $10.05 – $563.00 |