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Knee MRI (with and without contrast) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$395.29
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.
$5,005.00
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.
$395.29 with HORIZON BCBS BRAVEN vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $820.82 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +127% |
| CLOVER | MEDICARE ADVANTAGE | $900.90 | ↑ +128% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $935.94 | ↑ +137% |
| CIGNA | PPO | $945.71 | ↑ +139% |
| CIGNA | HMO | $945.71 | ↑ +139% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +141% |
| AETNA | PPO | $1,018.58 | ↑ +158% |
| AETNA | HMO | $1,018.58 | ↑ +158% |
| AMERIHEALTH | LOCAL HMO | $1,531.59 | ↑ +287% |
| AMERIHEALTH | REGIONAL HMO | $1,558.09 | ↑ +294% |
| QUALCARE | HMO | $2,083.00 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +446% |
| HORIZON | MANAGED MEDICAID | $3,047.54 | ↑ +671% |
| HORIZON | PIP | $3,228.23 | ↑ +717% |
| HORIZON | WORKERS COMP | $3,228.23 | ↑ +717% |
| QUALCARE | PPO | $3,291.00 | ↑ +733% |
| HORIZON | OMNIA | $3,417.91 | ↑ +765% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,453.45 | ↑ +774% |
| AETNA | ASA | $3,918.92 | ↑ +891% |
| CIGNA | BH | $4,004.00 | ↑ +913% |
| HORIZON | SHP | $4,179.68 | ↑ +957% |
| HORIZON | HMO | $4,220.72 | ↑ +968% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,254.25 | ↑ +976% |
| HORIZON | INDEMNITY | $4,281.28 | ↑ +983% |
| HORIZON | PPO | $4,320.32 | ↑ +993% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +996% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $420.58 | $336.46 – $4,332.00 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $4,332.00 |