healthcosts.net
Lower Back (Lumbar Spine) 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.
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What you pay up front if you don't use insurance.
$743.00
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.
$50.46 with UNITED HEALTHCARE vs $653.84 with QUALCARE — 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 | MANAGED MEDICAID | $50.46 | ↓ -57% |
| AETNA | PPO | $66.72 | ↓ -43% |
| AETNA | HMO | $66.72 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $73.60 | ↓ -37% |
| AMERIHEALTH | REGIONAL HMO | $74.87 | ↓ -36% |
| CIGNA | PPO | $103.53 | ↓ -12% |
| CIGNA | HMO | $103.53 | ↓ -12% |
| 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% |
| AETNA | MANAGED MEDICAID | $121.85 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $133.74 | ↑ +14% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $138.94 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| QUALCARE | HMO | $368.53 | ↑ +213% |
| HORIZON | MANAGED MEDICAID | $452.41 | ↑ +284% |
| HORIZON | PIP | $479.24 | ↑ +307% |
| HORIZON | WORKERS COMP | $479.24 | ↑ +307% |
| HORIZON | OMNIA | $507.39 | ↑ +331% |
| BERGEN RISK | ALL PRODUCTS | $557.25 | ↑ +373% |
| QUALCARE | PPO | $577.31 | ↑ +390% |
| AETNA | ASA | $581.77 | ↑ +394% |
| CIGNA | BH | $594.40 | ↑ +405% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $594.40 | ↑ +405% |
| HORIZON | SHP | $620.48 | ↑ +427% |
| HORIZON | HMO | $626.57 | ↑ +432% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $631.55 | ↑ +437% |
| HORIZON | INDEMNITY | $635.56 | ↑ +440% |
| HORIZON | PPO | $641.36 | ↑ +445% |
| QUALCARE | WORKERS COMP | $653.84 | ↑ +456% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $125.23 | $32.71 – $423.36 |
| Ocean University Medical Center | Brick | $116.22 | $50.46 – $594.40 |