healthcosts.net
Lung Function Test (Spirometry) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$173.18
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.
$1,375.00
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.
$173.18 with HORIZON BCBS BRAVEN vs $1,338.15 with AMERIHEALTH — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $225.50 | ↑ +30% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↑ +43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $257.13 | ↑ +48% |
| UNITED HEALTHCARE | HMO | $792.00 | ↑ +357% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $809.88 | ↑ +368% |
| HORIZON | MANAGED MEDICAID | $837.24 | ↑ +383% |
| HORIZON | PIP | $886.88 | ↑ +412% |
| HORIZON | WORKERS COMP | $886.88 | ↑ +412% |
| OXFORD | ALL PRODUCTS | $910.00 | ↑ +425% |
| HORIZON | OMNIA | $938.99 | ↑ +442% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +495% |
| QUALCARE | HMO | $1,068.38 | ↑ +517% |
| QUALCARE | PPO | $1,068.38 | ↑ +517% |
| AETNA | ASA | $1,076.63 | ↑ +522% |
| CIGNA | BH | $1,100.00 | ↑ +535% |
| HORIZON | SHP | $1,148.26 | ↑ +563% |
| HORIZON | HMO | $1,159.54 | ↑ +570% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +575% |
| HORIZON | INDEMNITY | $1,176.18 | ↑ +579% |
| AMERIHEALTH | LOCAL HMO | $1,181.40 | ↑ +582% |
| HORIZON | PPO | $1,186.90 | ↑ +585% |
| QUALCARE | WORKERS COMP | $1,210.00 | ↑ +599% |
| AETNA | PPO | $1,237.50 | ↑ +615% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,237.50 | ↑ +615% |
| AETNA | HMO | $1,237.50 | ↑ +615% |
| CIGNA | PPO | $1,314.91 | ↑ +659% |
| CIGNA | HMO | $1,314.91 | ↑ +659% |
| AMERIHEALTH | REGIONAL HMO | $1,338.15 | ↑ +673% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $184.26 | $48.73 – $5,456.00 |
| Ocean University Medical Center | Brick | $170.99 | $46.41 – $1,314.91 |