Lymph vessel x-ray arms/legs at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,719.44
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.
$3,216.00
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.
$405.57 with UNITED HEALTHCARE vs $3,807.12 with OXFORD — 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 | $405.57 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $527.42 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $578.88 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $601.39 | ↓ -65% |
| QUALCARE | HMO | $1,595.14 | ↓ -7% |
| VACCN | ALL PRODUCTS | $1,719.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,719.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,805.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,874.19 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $1,958.22 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $2,063.33 | ↑ +20% |
| HORIZON | PIP | $2,074.32 | ↑ +21% |
| HORIZON | WORKERS COMP | $2,074.32 | ↑ +21% |
| HORIZON | OMNIA | $2,196.21 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $2,412.00 | ↑ +40% |
| QUALCARE | PPO | $2,498.83 | ↑ +45% |
| AETNA | ASA | $2,518.13 | ↑ +46% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,572.80 | ↑ +50% |
| CIGNA | BH | $2,572.80 | ↑ +50% |
| HORIZON | SHP | $2,685.68 | ↑ +56% |
| HORIZON | HMO | $2,712.05 | ↑ +58% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,733.60 | ↑ +59% |
| HORIZON | INDEMNITY | $2,750.97 | ↑ +60% |
| AMERIHEALTH | LOCAL HMO | $2,763.19 | ↑ +61% |
| HORIZON | PPO | $2,776.05 | ↑ +61% |
| QUALCARE | WORKERS COMP | $2,830.08 | ↑ +65% |
| AETNA | PPO | $2,894.40 | ↑ +68% |
| AETNA | HMO | $2,894.40 | ↑ +68% |
| CIGNA | PPO | $3,075.46 | ↑ +79% |
| CIGNA | HMO | $3,075.46 | ↑ +79% |
| AMERIHEALTH | REGIONAL HMO | $3,129.81 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $3,807.12 | ↑ +121% |
| OXFORD | ALL PRODUCTS | $3,807.12 | ↑ +121% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Lymph vessel x-ray arms/legs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $756.24 | $91.80 – $3,395.44 |
| Community Medical Center | Toms River | $835.61 | $178.60 – $3,378.46 |
| Jersey City Medical Center | Jersey City | $837.22 | $118.80 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $881.54 | $178.60 – $3,421.69 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $161.90 – $4,348.49 |
| Ocean University Medical Center | Brick | $1,697.72 | $405.57 – $1,697.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,720.93 | $903.71 – $4,032.11 |
| Jersey Shore University Medical Center | Neptune City | $1,719.44 | $405.57 – $1,874.19 |