Hla i low res one antigen equiv ea at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$74.33
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.
$205.00
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.
$73.90 with QUALCARE vs $340.61 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 |
|---|---|---|---|
| QUALCARE | HMO | $73.90 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $74.33 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $74.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $74.33 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $74.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $74.33 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $74.33 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $74.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $78.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $81.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $89.20 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $90.73 | ↑ +22% |
| HORIZON | PIP | $96.11 | ↑ +29% |
| HORIZON | WORKERS COMP | $96.11 | ↑ +29% |
| HORIZON | OMNIA | $101.75 | ↑ +37% |
| AETNA | HMO | $102.51 | ↑ +38% |
| AETNA | PPO | $102.51 | ↑ +38% |
| BERGEN RISK | ALL PRODUCTS | $111.75 | ↑ +50% |
| QUALCARE | PPO | $115.77 | ↑ +56% |
| AETNA | ASA | $116.67 | ↑ +57% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $119.20 | ↑ +60% |
| CIGNA | BH | $119.20 | ↑ +60% |
| HORIZON | SHP | $124.43 | ↑ +67% |
| HORIZON | HMO | $125.65 | ↑ +69% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $126.65 | ↑ +70% |
| HORIZON | INDEMNITY | $127.45 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $128.02 | ↑ +72% |
| HORIZON | PPO | $128.62 | ↑ +73% |
| QUALCARE | WORKERS COMP | $131.12 | ↑ +76% |
| AMERIHEALTH | REGIONAL HMO | $145.01 | ↑ +95% |
| OXFORD | ALL PRODUCTS | $152.56 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $152.56 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $155.92 | ↑ +110% |
| CIGNA | PPO | $340.61 | ↑ +358% |
| CIGNA | HMO | $340.61 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hla i low res one antigen equiv ea at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $74.33 | $59.46 – $333.78 |
| Ocean University Medical Center | Brick | $74.33 | $65.41 – $340.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $74.33 | $65.41 – $349.81 |
| Jersey Shore University Medical Center | Neptune City | $74.33 | $59.46 – $340.61 |
| Palisades Medical Center | North Bergen | $74.33 | $74.33 – $340.61 |
| Raritan Bay Medical Center | Perth Amboy | $74.33 | $74.33 – $340.61 |
| Riverview Medical Center | Red Bank | $74.33 | $52.13 – $340.61 |
| Southern Ocean Medical Center | Manahawkin | $74.33 | $74.33 – $340.61 |