Mayo factor v at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$17.65
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.
$265.00
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.
$17.65 with CLOVER vs $80.88 with CIGNA — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $17.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $17.65 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $17.65 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17.65 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.65 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.53 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.24 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.18 | ↑ +20% |
| QUALCARE | HMO | $27.28 | ↑ +55% |
| HORIZON | MANAGED MEDICAID | $33.49 | ↑ +90% |
| HORIZON | PIP | $35.48 | ↑ +101% |
| HORIZON | WORKERS COMP | $35.48 | ↑ +101% |
| OXFORD | ALL PRODUCTS | $36.23 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $36.23 | ↑ +105% |
| HORIZON | OMNIA | $37.56 | ↑ +113% |
| AETNA | PPO | $37.84 | ↑ +114% |
| AETNA | HMO | $37.84 | ↑ +114% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $38.74 | ↑ +119% |
| BERGEN RISK | ALL PRODUCTS | $41.25 | ↑ +134% |
| QUALCARE | PPO | $42.74 | ↑ +142% |
| AETNA | ASA | $43.07 | ↑ +144% |
| CIGNA | BH | $44.00 | ↑ +149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $44.00 | ↑ +149% |
| HORIZON | SHP | $45.93 | ↑ +160% |
| HORIZON | HMO | $46.38 | ↑ +163% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $46.75 | ↑ +165% |
| HORIZON | INDEMNITY | $47.05 | ↑ +167% |
| AMERIHEALTH | LOCAL HMO | $47.26 | ↑ +168% |
| HORIZON | PPO | $47.48 | ↑ +169% |
| QUALCARE | WORKERS COMP | $48.40 | ↑ +174% |
| AMERIHEALTH | REGIONAL HMO | $53.53 | ↑ +203% |
| CIGNA | HMO | $80.88 | ↑ +358% |
| CIGNA | PPO | $80.88 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor v at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $19.42 | $8.30 – $81.26 |
| Cooperman Barnabas Medical Center | Livingston | $19.42 | $8.30 – $72.09 |
| Community Medical Center | Toms River | $19.42 | $8.30 – $72.09 |
| Clara Maass Medical Center | Belleville | $19.42 | $8.30 – $72.09 |
| Newark Beth Israel Medical Center | Newark | $19.42 | $8.30 – $72.09 |
| Jersey City Medical Center | Jersey City | $19.42 | $8.30 – $72.09 |
| Monmouth Medical Center | Long Branch | $19.42 | $8.30 – $72.09 |
| Hackensack University Medical Center | Hackensack | $17.65 | $14.12 – $79.26 |