Ins/rpl wireless pulm art sensor incl s&i at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$31,466.18
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.
$39,215.00
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.
$2,195.00 with UNITED HEALTHCARE vs $38,164.04 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 |
|---|---|---|---|
| UNITED HEALTHCARE | HMO | $2,195.00 | ↓ -93% |
| OXFORD | ALL PRODUCTS | $2,305.00 | ↓ -93% |
| AETNA | MANAGED MEDICAID | $6,431.26 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $7,058.70 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,333.21 | ↓ -77% |
| AETNA | HMO | $9,218.00 | ↓ -71% |
| AETNA | PPO | $9,218.00 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $23,097.64 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $23,878.01 | ↓ -24% |
| HORIZON | PIP | $25,293.68 | ↓ -20% |
| HORIZON | WORKERS COMP | $25,293.68 | ↓ -20% |
| HORIZON | OMNIA | $26,779.92 | ↓ -15% |
| BERGEN RISK | ALL PRODUCTS | $29,411.25 | ↓ -7% |
| QUALCARE | HMO | $30,470.06 | ↓ -3% |
| QUALCARE | PPO | $30,470.06 | ↓ -3% |
| AETNA | ASA | $30,705.35 | ↓ -2% |
| CIGNA | BH | $31,372.00 | ↓ -0% |
| VACCN | ALL PRODUCTS | $31,466.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $31,466.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $31,466.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $31,466.18 | ↑ +0% |
| HORIZON | SHP | $32,748.45 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $33,039.49 | ↑ +5% |
| HORIZON | HMO | $33,070.01 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $33,332.75 | ↑ +6% |
| HORIZON | INDEMNITY | $33,544.51 | ↑ +7% |
| AMERIHEALTH | LOCAL HMO | $33,693.53 | ↑ +7% |
| HORIZON | PPO | $33,850.39 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $34,298.14 | ↑ +9% |
| QUALCARE | WORKERS COMP | $34,509.20 | ↑ +10% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $35,293.50 | ↑ +12% |
| CIGNA | PPO | $37,501.30 | ↑ +19% |
| CIGNA | HMO | $37,501.30 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $37,759.42 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $38,164.04 | ↑ +21% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl wireless pulm art sensor incl s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $164.89 – $62,137.50 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $232.85 – $63,788.62 |
| Community Medical Center | Toms River | $3,786.00 | $232.85 – $61,826.81 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $232.85 – $63,469.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $169.74 – $63,788.62 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $213.39 – $66,623.03 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $232.85 – $62,617.70 |
| Hackensack University Medical Center | Hackensack | $33,478.91 | $211.08 – $35,152.85 |