Igh@ var region somatic mutation analy at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$294.52
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.
$1,550.00
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.
$294.52 with CLOVER vs $1,349.59 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $294.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $294.52 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $294.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $294.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $294.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $294.52 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $294.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $309.25 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $321.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $353.42 | ↑ +20% |
| QUALCARE | HMO | $566.43 | ↑ +92% |
| OXFORD | ALL PRODUCTS | $604.50 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $604.50 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $631.21 | ↑ +114% |
| HORIZON | MANAGED MEDICAID | $695.36 | ↑ +136% |
| HORIZON | PIP | $736.59 | ↑ +150% |
| HORIZON | WORKERS COMP | $736.59 | ↑ +150% |
| HORIZON | OMNIA | $779.87 | ↑ +165% |
| AETNA | HMO | $785.70 | ↑ +167% |
| AETNA | PPO | $785.70 | ↑ +167% |
| BERGEN RISK | ALL PRODUCTS | $856.50 | ↑ +191% |
| QUALCARE | PPO | $887.33 | ↑ +201% |
| AETNA | ASA | $894.19 | ↑ +204% |
| CIGNA | BH | $913.60 | ↑ +210% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $913.60 | ↑ +210% |
| HORIZON | SHP | $953.68 | ↑ +224% |
| HORIZON | HMO | $963.05 | ↑ +227% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $970.70 | ↑ +230% |
| HORIZON | INDEMNITY | $976.87 | ↑ +232% |
| AMERIHEALTH | LOCAL HMO | $981.21 | ↑ +233% |
| HORIZON | PPO | $985.77 | ↑ +235% |
| QUALCARE | WORKERS COMP | $1,004.96 | ↑ +241% |
| AMERIHEALTH | REGIONAL HMO | $1,111.39 | ↑ +277% |
| CIGNA | HMO | $1,349.59 | ↑ +358% |
| CIGNA | PPO | $1,349.59 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Igh@ var region somatic mutation analy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $294.52 | $154.57 – $1,322.54 |
| Ocean University Medical Center | Brick | $294.52 | $259.18 – $1,349.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $294.52 | $259.18 – $1,386.08 |
| Jersey Shore University Medical Center | Neptune City | $294.52 | $235.62 – $1,349.59 |
| Palisades Medical Center | North Bergen | $294.52 | $170.51 – $1,349.59 |
| Raritan Bay Medical Center | Perth Amboy | $294.52 | $294.52 – $1,349.59 |
| Riverview Medical Center | Red Bank | $294.52 | $119.57 – $1,349.59 |
| Southern Ocean Medical Center | Manahawkin | $294.52 | $294.52 – $1,349.59 |