Ghs urine, porphyrins quant at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$14.71
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.
$68.00
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.
$14.71 with CLOVER vs $67.41 with CIGNA — 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 | $14.71 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $14.71 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $14.71 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $14.71 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $14.71 | ↑ +0% |
| VACCN | ALL PRODUCTS | $14.71 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14.71 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.45 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $16.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $17.65 | ↑ +20% |
| QUALCARE | HMO | $18.35 | ↑ +25% |
| HORIZON | MANAGED MEDICAID | $22.53 | ↑ +53% |
| HORIZON | PIP | $23.87 | ↑ +62% |
| HORIZON | WORKERS COMP | $23.87 | ↑ +62% |
| HORIZON | OMNIA | $25.27 | ↑ +72% |
| AETNA | HMO | $25.46 | ↑ +73% |
| AETNA | PPO | $25.46 | ↑ +73% |
| BERGEN RISK | ALL PRODUCTS | $27.75 | ↑ +89% |
| QUALCARE | PPO | $28.75 | ↑ +95% |
| AETNA | ASA | $28.97 | ↑ +97% |
| CIGNA | BH | $29.60 | ↑ +101% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $29.60 | ↑ +101% |
| OXFORD | ALL PRODUCTS | $30.19 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $30.19 | ↑ +105% |
| HORIZON | SHP | $30.90 | ↑ +110% |
| HORIZON | HMO | $31.20 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $31.45 | ↑ +114% |
| HORIZON | INDEMNITY | $31.65 | ↑ +115% |
| AMERIHEALTH | LOCAL HMO | $31.79 | ↑ +116% |
| HORIZON | PPO | $31.94 | ↑ +117% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $32.28 | ↑ +119% |
| QUALCARE | WORKERS COMP | $32.56 | ↑ +121% |
| AMERIHEALTH | REGIONAL HMO | $36.01 | ↑ +145% |
| CIGNA | HMO | $67.41 | ↑ +358% |
| CIGNA | PPO | $67.41 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs urine, porphyrins quant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $14.71 | $11.15 – $66.06 |
| Ocean University Medical Center | Brick | $14.71 | $8.25 – $67.41 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $14.71 | $8.25 – $69.23 |
| Jersey Shore University Medical Center | Neptune City | $14.71 | $11.77 – $67.41 |
| Palisades Medical Center | North Bergen | $14.71 | $12.30 – $67.41 |
| Raritan Bay Medical Center | Perth Amboy | $14.71 | $14.71 – $67.41 |
| Riverview Medical Center | Red Bank | $14.71 | $8.63 – $67.41 |
| Southern Ocean Medical Center | Manahawkin | $14.71 | $14.71 – $67.41 |