I-123 iobenguane diag at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,074.81
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.
$14,609.00
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.
$2,074.81 with WELLCARE vs $14,609.00 with AMERIHEALTH — 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $2,074.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,074.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,074.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,074.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,178.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,261.54 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $2,395.88 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $2,489.77 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $2,629.62 | ↑ +27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,731.88 | ↑ +32% |
| AMERIHEALTH | LOCAL HMO | $5,877.20 | ↑ +183% |
| UNITED HEALTHCARE | HMO | $8,281.84 | ↑ +299% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $8,604.70 | ↑ +315% |
| HORIZON | MANAGED MEDICAID | $8,895.42 | ↑ +329% |
| HORIZON | PIP | $9,422.81 | ↑ +354% |
| HORIZON | WORKERS COMP | $9,422.81 | ↑ +354% |
| OXFORD | ALL PRODUCTS | $9,570.36 | ↑ +361% |
| HORIZON | OMNIA | $9,976.49 | ↑ +381% |
| BERGEN RISK | ALL PRODUCTS | $10,956.75 | ↑ +428% |
| QUALCARE | HMO | $11,351.19 | ↑ +447% |
| QUALCARE | PPO | $11,351.19 | ↑ +447% |
| AETNA | ASA | $11,438.85 | ↑ +451% |
| CIGNA | BH | $11,687.20 | ↑ +463% |
| HORIZON | SHP | $12,199.98 | ↑ +488% |
| HORIZON | HMO | $12,319.77 | ↑ +494% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,417.65 | ↑ +498% |
| HORIZON | INDEMNITY | $12,496.54 | ↑ +502% |
| HORIZON | PPO | $12,610.49 | ↑ +508% |
| QUALCARE | WORKERS COMP | $12,855.92 | ↑ +520% |
| AETNA | PPO | $13,148.10 | ↑ +534% |
| AETNA | HMO | $13,148.10 | ↑ +534% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $13,148.10 | ↑ +534% |
| CIGNA | PPO | $13,970.59 | ↑ +573% |
| CIGNA | HMO | $13,970.59 | ↑ +573% |
| AMERIHEALTH | REGIONAL HMO | $14,609.00 | ↑ +604% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
I-123 iobenguane diag at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $2,074.81 | $1,659.85 – $8,762.09 |
| Ocean University Medical Center | Brick | $2,074.81 | $2,074.81 – $8,580.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,074.81 | $2,074.81 – $8,762.09 |
| Jersey Shore University Medical Center | Neptune City | $2,074.81 | $2,074.81 – $8,580.92 |
| Palisades Medical Center | North Bergen | $2,074.81 | $2,074.81 – $8,762.09 |
| Raritan Bay Medical Center | Perth Amboy | $2,074.81 | $2,074.81 – $8,762.09 |
| Riverview Medical Center | Red Bank | $2,074.81 | $2,074.81 – $8,580.92 |
| Southern Ocean Medical Center | Manahawkin | $2,074.81 | $2,074.81 – $8,580.92 |