Ghs st - re-eval for alt comm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$93.37
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.
$550.00
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.
$44.64 with CLOVER vs $614.00 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 | $44.64 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $46.38 | ↓ -50% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -36% |
| VACCN | ALL PRODUCTS | $93.37 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $93.37 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $93.37 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $98.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $101.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $112.04 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $146.07 | ↑ +56% |
| HORIZON | WORKERS COMP | $159.96 | ↑ +71% |
| HORIZON | PIP | $159.96 | ↑ +71% |
| HORIZON | OMNIA | $169.36 | ↑ +81% |
| BERGEN RISK | ALL PRODUCTS | $186.00 | ↑ +99% |
| QUALCARE | PPO | $192.70 | ↑ +106% |
| AETNA | ASA | $194.18 | ↑ +108% |
| CIGNA | BH | $198.40 | ↑ +112% |
| HORIZON | SHP | $207.10 | ↑ +122% |
| HORIZON | HMO | $209.14 | ↑ +124% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $210.80 | ↑ +126% |
| HORIZON | INDEMNITY | $212.14 | ↑ +127% |
| AMERIHEALTH | LOCAL HMO | $213.08 | ↑ +128% |
| HORIZON | PPO | $214.07 | ↑ +129% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $223.20 | ↑ +139% |
| AETNA | HMO | $223.20 | ↑ +139% |
| AETNA | PPO | $223.20 | ↑ +139% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +140% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +140% |
| CIGNA | HMO | $237.16 | ↑ +154% |
| CIGNA | PPO | $237.16 | ↑ +154% |
| AMERIHEALTH | REGIONAL HMO | $241.35 | ↑ +158% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +198% |
| QUALCARE | HMO | $306.00 | ↑ +228% |
| UNITED HEALTHCARE | HMO | $357.00 | ↑ +282% |
| OXFORD | ALL PRODUCTS | $614.00 | ↑ +558% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - re-eval for alt comm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $93.37 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $93.37 | $60.00 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $93.37 | $60.00 – $576.00 |
| Jersey Shore University Medical Center | Neptune City | $93.37 | $74.70 – $326.00 |
| Palisades Medical Center | North Bergen | $93.37 | $92.59 – $769.00 |
| Raritan Bay Medical Center | Perth Amboy | $93.37 | $90.00 – $265.00 |
| Riverview Medical Center | Red Bank | $93.37 | $93.37 – $301.00 |
| Southern Ocean Medical Center | Manahawkin | $93.37 | $93.37 – $332.00 |