healthcosts.net
Knee X-ray at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
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.
?
What you pay up front if you don't use insurance.
$809.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.88 with UNITED HEALTHCARE vs $711.92 with QUALCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MANAGED MEDICAID | $46.88 | ↓ -60% |
| AMERIHEALTH | LOCAL HMO | $69.62 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $70.82 | ↓ -40% |
| AETNA | PPO | $79.70 | ↓ -32% |
| AETNA | HMO | $79.70 | ↓ -32% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| CIGNA | PPO | $125.77 | ↑ +7% |
| CIGNA | HMO | $125.77 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $132.68 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $145.62 | ↑ +24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $151.28 | ↑ +29% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| QUALCARE | HMO | $401.26 | ↑ +241% |
| HORIZON | MANAGED MEDICAID | $492.60 | ↑ +319% |
| HORIZON | PIP | $521.81 | ↑ +343% |
| HORIZON | WORKERS COMP | $521.81 | ↑ +343% |
| HORIZON | OMNIA | $552.47 | ↑ +369% |
| BERGEN RISK | ALL PRODUCTS | $606.75 | ↑ +416% |
| QUALCARE | PPO | $628.59 | ↑ +434% |
| AETNA | ASA | $633.45 | ↑ +438% |
| CIGNA | BH | $647.20 | ↑ +450% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $647.20 | ↑ +450% |
| HORIZON | SHP | $675.60 | ↑ +474% |
| HORIZON | HMO | $682.23 | ↑ +480% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $687.65 | ↑ +484% |
| HORIZON | INDEMNITY | $692.02 | ↑ +488% |
| HORIZON | PPO | $698.33 | ↑ +493% |
| QUALCARE | WORKERS COMP | $711.92 | ↑ +505% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Knee X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $323.60 | $117.31 – $117.31 |
| Hackensack University Medical Center | Hackensack | $125.23 | $36.80 – $640.33 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $647.20 |