Interrog evl pm/ldls pm ip at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$41.27
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.
$332.00
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.
$41.27 with WELLCARE vs $323.10 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 | $41.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $41.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $49.53 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $54.45 | ↑ +32% |
| CLOVER | MEDICARE ADVANTAGE | $59.76 | ↑ +45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $62.08 | ↑ +50% |
| UNITED HEALTHCARE | HMO | $188.21 | ↑ +356% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $195.55 | ↑ +374% |
| HORIZON | MANAGED MEDICAID | $202.15 | ↑ +390% |
| OXFORD | ALL PRODUCTS | $208.96 | ↑ +406% |
| HORIZON | PIP | $214.14 | ↑ +419% |
| HORIZON | WORKERS COMP | $214.14 | ↑ +419% |
| HORIZON | OMNIA | $226.72 | ↑ +449% |
| BERGEN RISK | ALL PRODUCTS | $249.00 | ↑ +503% |
| QUALCARE | HMO | $257.96 | ↑ +525% |
| QUALCARE | PPO | $257.96 | ↑ +525% |
| AETNA | ASA | $259.96 | ↑ +530% |
| CIGNA | BH | $265.60 | ↑ +544% |
| HORIZON | SHP | $277.25 | ↑ +572% |
| HORIZON | HMO | $279.98 | ↑ +578% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $282.20 | ↑ +584% |
| HORIZON | INDEMNITY | $283.99 | ↑ +588% |
| AMERIHEALTH | LOCAL HMO | $285.25 | ↑ +591% |
| HORIZON | PPO | $286.58 | ↑ +594% |
| QUALCARE | WORKERS COMP | $292.16 | ↑ +608% |
| AETNA | PPO | $298.80 | ↑ +624% |
| AETNA | HMO | $298.80 | ↑ +624% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $298.80 | ↑ +624% |
| CIGNA | HMO | $317.49 | ↑ +669% |
| CIGNA | PPO | $317.49 | ↑ +669% |
| AMERIHEALTH | REGIONAL HMO | $323.10 | ↑ +683% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $50.30 | $29.03 – $81.50 |
| Community Medical Center | Toms River | $55.58 | $36.58 – $81.09 |
| Newark Beth Israel Medical Center | Newark | $49.78 | $29.88 – $83.68 |
| Jersey City Medical Center | Jersey City | $55.69 | $37.57 – $87.38 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $94.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $94.86 |