healthcosts.net
Hip X-ray at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$473.00
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.
$55.83 with UNITED HEALTHCARE vs $416.24 with QUALCARE — 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 | $55.83 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $63.65 | ↓ -35% |
| AMERIHEALTH | REGIONAL HMO | $64.75 | ↓ -34% |
| AETNA | MANAGED MEDICAID | $77.57 | ↓ -20% |
| AETNA | PPO | $84.69 | ↓ -13% |
| AETNA | HMO | $84.69 | ↓ -13% |
| CLOVER | MEDICARE ADVANTAGE | $85.14 | ↓ -13% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.45 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| CIGNA | PPO | $128.22 | ↑ +32% |
| CIGNA | HMO | $128.22 | ↑ +32% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | HMO | $234.61 | ↑ +141% |
| HORIZON | MANAGED MEDICAID | $288.01 | ↑ +196% |
| HORIZON | PIP | $305.09 | ↑ +213% |
| HORIZON | WORKERS COMP | $305.09 | ↑ +213% |
| HORIZON | OMNIA | $323.01 | ↑ +231% |
| BERGEN RISK | ALL PRODUCTS | $354.75 | ↑ +264% |
| QUALCARE | PPO | $367.52 | ↑ +277% |
| AETNA | ASA | $370.36 | ↑ +280% |
| CIGNA | BH | $378.40 | ↑ +288% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $378.40 | ↑ +288% |
| HORIZON | SHP | $395.00 | ↑ +305% |
| HORIZON | HMO | $398.88 | ↑ +309% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $402.05 | ↑ +313% |
| HORIZON | INDEMNITY | $404.60 | ↑ +315% |
| HORIZON | PPO | $408.29 | ↑ +319% |
| QUALCARE | WORKERS COMP | $416.24 | ↑ +327% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hip X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $189.20 | $68.59 – $68.59 |
| Hackensack University Medical Center | Hackensack | $103.69 | $34.13 – $397.78 |
| Ocean University Medical Center | Brick | $96.23 | $55.83 – $383.35 |