Ghs st - eval for alt comm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$43.44
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.
$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.
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The hospital's undiscounted list price — almost no one pays this.
$31.98 with AETNA vs $527.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $31.98 | ↓ -26% |
| CLOVER | MEDICARE ADVANTAGE | $35.10 | ↓ -19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $36.47 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $43.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $47.35 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $52.13 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $114.86 | ↑ +164% |
| HORIZON | MANAGED MEDICAID | $118.74 | ↑ +173% |
| OXFORD | ALL PRODUCTS | $122.73 | ↑ +183% |
| HORIZON | PIP | $125.78 | ↑ +190% |
| HORIZON | WORKERS COMP | $125.78 | ↑ +190% |
| HORIZON | OMNIA | $133.17 | ↑ +207% |
| BERGEN RISK | ALL PRODUCTS | $146.25 | ↑ +237% |
| QUALCARE | PPO | $151.52 | ↑ +249% |
| QUALCARE | HMO | $151.52 | ↑ +249% |
| AETNA | ASA | $152.69 | ↑ +251% |
| CIGNA | BH | $156.00 | ↑ +259% |
| HORIZON | SHP | $162.84 | ↑ +275% |
| HORIZON | HMO | $164.44 | ↑ +279% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $165.75 | ↑ +282% |
| HORIZON | INDEMNITY | $166.80 | ↑ +284% |
| HORIZON | PPO | $168.32 | ↑ +287% |
| QUALCARE | WORKERS COMP | $171.60 | ↑ +295% |
| AETNA | HMO | $175.50 | ↑ +304% |
| AETNA | PPO | $175.50 | ↑ +304% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $175.50 | ↑ +304% |
| CIGNA | PPO | $186.48 | ↑ +329% |
| CIGNA | HMO | $186.48 | ↑ +329% |
| UNITED HEALTHCARE | HMO | $304.00 | ↑ +600% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +970% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +1113% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - eval for alt comm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $46.22 | $18.25 – $487.00 |
| Ocean University Medical Center | Brick | $42.90 | $17.67 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $18.25 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $17.67 – $443.00 |
| Palisades Medical Center | North Bergen | $46.22 | $18.25 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $18.25 – $105.00 |
| Riverview Medical Center | Red Bank | $43.44 | $17.67 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $42.90 | $17.67 – $465.00 |