Hc pet myocardial imaging metabolic eval single study at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,444.98
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.
$3,417.00
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.
$294.70 with UNITED HEALTHCARE vs $4,009.56 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $294.70 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $560.39 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $615.06 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $638.98 | ↓ -56% |
| AMERIHEALTH | LOCAL HMO | $1,153.67 | ↓ -20% |
| AMERIHEALTH | REGIONAL HMO | $1,173.63 | ↓ -19% |
| VACCN | ALL PRODUCTS | $1,444.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,444.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,517.23 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,575.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,733.98 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,080.61 | ↑ +44% |
| HORIZON | PIP | $2,203.97 | ↑ +53% |
| HORIZON | WORKERS COMP | $2,203.97 | ↑ +53% |
| HORIZON | OMNIA | $2,333.47 | ↑ +61% |
| BERGEN RISK | ALL PRODUCTS | $2,562.75 | ↑ +77% |
| QUALCARE | HMO | $2,655.01 | ↑ +84% |
| QUALCARE | PPO | $2,655.01 | ↑ +84% |
| AETNA | ASA | $2,675.51 | ↑ +85% |
| CIGNA | BH | $2,733.60 | ↑ +89% |
| HORIZON | SHP | $2,853.54 | ↑ +97% |
| HORIZON | HMO | $2,881.56 | ↑ +99% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,904.45 | ↑ +101% |
| HORIZON | INDEMNITY | $2,922.90 | ↑ +102% |
| HORIZON | PPO | $2,949.55 | ↑ +104% |
| QUALCARE | WORKERS COMP | $3,006.96 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,075.30 | ↑ +113% |
| AETNA | PPO | $3,075.30 | ↑ +113% |
| AETNA | HMO | $3,075.30 | ↑ +113% |
| OXFORD | ALL PRODUCTS | $3,535.83 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +145% |
| CIGNA | HMO | $4,009.56 | ↑ +177% |
| CIGNA | PPO | $4,009.56 | ↑ +177% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hc pet myocardial imaging metabolic eval single study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,537.41 | $180.99 – $6,637.00 |
| Ocean University Medical Center | Brick | $1,426.73 | $294.70 – $4,009.56 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,446.24 | $1,031.62 – $4,117.96 |
| Jersey Shore University Medical Center | Neptune City | $1,444.98 | $294.70 – $4,012.50 |
| Palisades Medical Center | North Bergen | $1,537.41 | $199.65 – $4,009.56 |
| Raritan Bay Medical Center | Perth Amboy | $1,446.24 | $294.70 – $4,009.56 |
| Riverview Medical Center | Red Bank | $1,444.98 | $294.70 – $4,009.56 |
| Southern Ocean Medical Center | Manahawkin | $1,426.73 | $294.70 – $4,009.56 |