Ins tun cv cath wo subq prt/pm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,483.84
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.
$6,859.00
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.
$1,124.88 with AETNA vs $13,844.00 with UNITED HEALTHCARE — 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 | $1,124.88 | ↓ -68% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $1,234.62 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,282.63 | ↓ -63% |
| CIGNA | HMO | $3,135.00 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| CIGNA | PPO | $3,508.00 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| HORIZON | PIP | $4,424.06 | ↑ +27% |
| HORIZON | WORKERS COMP | $4,424.06 | ↑ +27% |
| HORIZON | OMNIA | $4,684.01 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $5,144.25 | ↑ +48% |
| QUALCARE | PPO | $5,329.44 | ↑ +53% |
| AETNA | ASA | $5,370.60 | ↑ +54% |
| CIGNA | BH | $5,487.20 | ↑ +58% |
| HORIZON | SHP | $5,727.95 | ↑ +64% |
| HORIZON | HMO | $5,784.19 | ↑ +66% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,830.15 | ↑ +67% |
| HORIZON | INDEMNITY | $5,867.19 | ↑ +68% |
| AMERIHEALTH | LOCAL HMO | $5,893.25 | ↑ +69% |
| HORIZON | PPO | $5,920.69 | ↑ +70% |
| QUALCARE | WORKERS COMP | $6,035.92 | ↑ +73% |
| QUALCARE | HMO | $6,256.00 | ↑ +80% |
| AMERIHEALTH | REGIONAL HMO | $6,675.18 | ↑ +92% |
| AETNA | HMO | $8,419.00 | ↑ +142% |
| AETNA | PPO | $8,419.00 | ↑ +142% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +185% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +219% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +297% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $421.34 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $790.76 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $809.81 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $781.23 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $433.73 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $545.27 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,562.46 – $6,932.84 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $538.88 – $3,892.02 |