Gi trc img intral esophagus at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,037.75
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.
$2,610.00
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.
$428.04 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $428.04 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $469.80 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $488.07 | ↓ -53% |
| WELLCARE | MANAGED MEDICAID | $1,037.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,037.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,089.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,131.14 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $1,245.30 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +55% |
| HORIZON | PIP | $1,683.45 | ↑ +62% |
| HORIZON | WORKERS COMP | $1,683.45 | ↑ +62% |
| HORIZON | OMNIA | $1,782.37 | ↑ +72% |
| BERGEN RISK | ALL PRODUCTS | $1,957.50 | ↑ +89% |
| QUALCARE | PPO | $2,027.97 | ↑ +95% |
| AETNA | ASA | $2,043.63 | ↑ +97% |
| CIGNA | BH | $2,088.00 | ↑ +101% |
| HORIZON | SHP | $2,179.61 | ↑ +110% |
| HORIZON | HMO | $2,201.01 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,218.50 | ↑ +114% |
| HORIZON | INDEMNITY | $2,232.59 | ↑ +115% |
| AMERIHEALTH | LOCAL HMO | $2,242.51 | ↑ +116% |
| HORIZON | PPO | $2,252.95 | ↑ +117% |
| QUALCARE | WORKERS COMP | $2,296.80 | ↑ +121% |
| CIGNA | PPO | $2,495.94 | ↑ +141% |
| CIGNA | HMO | $2,495.94 | ↑ +141% |
| AMERIHEALTH | REGIONAL HMO | $2,540.05 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +487% |
| QUALCARE | HMO | $6,256.00 | ↑ +503% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +625% |
| AETNA | PPO | $8,419.00 | ↑ +711% |
| AETNA | HMO | $8,419.00 | ↑ +711% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +857% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Gi trc img intral esophagus at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,104.13 | $883.30 – $1,589.00 |
| Ocean University Medical Center | Brick | $1,024.64 | $937.56 – $1,501.49 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,038.65 | $937.56 – $1,589.00 |
| Jersey Shore University Medical Center | Neptune City | $1,037.75 | $1,037.75 – $1,501.49 |
| Palisades Medical Center | North Bergen | $1,104.13 | $1,104.13 – $1,589.00 |
| Raritan Bay Medical Center | Perth Amboy | $1,038.65 | $1,038.65 – $1,589.00 |
| Riverview Medical Center | Red Bank | $1,037.75 | $1,037.75 – $1,501.49 |
| Southern Ocean Medical Center | Manahawkin | $1,024.64 | $1,024.64 – $1,501.49 |