In-111 pentetate dtpa / 0.5 mci at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$715.29
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.
$3,835.00
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.
$628.94 with AETNA vs $3,835.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $628.94 | ↓ -12% |
| CLOVER | MEDICARE ADVANTAGE | $690.30 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $715.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $715.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $715.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $715.29 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $717.15 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $751.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $779.67 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $858.35 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $1,542.82 | ↑ +116% |
| UNITED HEALTHCARE | HMO | $2,174.06 | ↑ +204% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,258.82 | ↑ +216% |
| HORIZON | MANAGED MEDICAID | $2,335.13 | ↑ +226% |
| AETNA | PPO | $2,377.70 | ↑ +232% |
| AETNA | HMO | $2,377.70 | ↑ +232% |
| HORIZON | PIP | $2,473.58 | ↑ +246% |
| HORIZON | WORKERS COMP | $2,473.58 | ↑ +246% |
| OXFORD | ALL PRODUCTS | $2,512.31 | ↑ +251% |
| HORIZON | OMNIA | $2,618.92 | ↑ +266% |
| BERGEN RISK | ALL PRODUCTS | $2,876.25 | ↑ +302% |
| QUALCARE | PPO | $2,979.80 | ↑ +317% |
| QUALCARE | HMO | $2,979.80 | ↑ +317% |
| AETNA | ASA | $3,002.81 | ↑ +320% |
| CIGNA | BH | $3,068.00 | ↑ +329% |
| HORIZON | SHP | $3,202.61 | ↑ +348% |
| HORIZON | HMO | $3,234.06 | ↑ +352% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,259.75 | ↑ +356% |
| HORIZON | INDEMNITY | $3,280.46 | ↑ +359% |
| HORIZON | PPO | $3,310.37 | ↑ +363% |
| QUALCARE | WORKERS COMP | $3,374.80 | ↑ +372% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,451.50 | ↑ +383% |
| CIGNA | PPO | $3,667.41 | ↑ +413% |
| CIGNA | HMO | $3,667.41 | ↑ +413% |
| AMERIHEALTH | REGIONAL HMO | $3,835.00 | ↑ +436% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
In-111 pentetate dtpa / 0.5 mci at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $715.29 | $572.23 – $989.79 |
| Ocean University Medical Center | Brick | $715.29 | $0.01 – $969.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $715.29 | $0.01 – $989.79 |
| Jersey Shore University Medical Center | Neptune City | $715.29 | $715.29 – $969.32 |
| Palisades Medical Center | North Bergen | $715.29 | $715.29 – $989.79 |
| Raritan Bay Medical Center | Perth Amboy | $715.29 | $715.29 – $989.79 |
| Riverview Medical Center | Red Bank | $715.29 | $715.29 – $969.32 |
| Southern Ocean Medical Center | Manahawkin | $715.29 | $715.29 – $969.32 |