MRI breast c- unilateral at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$267.55
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.
$4,895.00
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.
$267.55 with WELLCARE vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $280.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $291.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $321.06 | ↑ +20% |
| CIGNA | HMO | $473.14 | ↑ +77% |
| CIGNA | PPO | $473.14 | ↑ +77% |
| AETNA | PPO | $496.40 | ↑ +86% |
| AETNA | HMO | $496.40 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $559.79 | ↑ +109% |
| OXFORD | ALL PRODUCTS | $559.79 | ↑ +109% |
| AETNA | MANAGED MEDICAID | $802.78 | ↑ +200% |
| CLOVER | MEDICARE ADVANTAGE | $881.10 | ↑ +229% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $915.37 | ↑ +242% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +255% |
| AMERIHEALTH | LOCAL HMO | $1,416.23 | ↑ +429% |
| AMERIHEALTH | REGIONAL HMO | $1,440.73 | ↑ +438% |
| QUALCARE | HMO | $2,083.00 | ↑ +679% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +707% |
| HORIZON | MANAGED MEDICAID | $2,980.57 | ↑ +1014% |
| HORIZON | PIP | $3,157.28 | ↑ +1080% |
| HORIZON | WORKERS COMP | $3,157.28 | ↑ +1080% |
| QUALCARE | PPO | $3,291.00 | ↑ +1130% |
| HORIZON | OMNIA | $3,342.80 | ↑ +1149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,377.55 | ↑ +1162% |
| AETNA | ASA | $3,832.79 | ↑ +1333% |
| CIGNA | BH | $3,916.00 | ↑ +1364% |
| HORIZON | SHP | $4,087.81 | ↑ +1428% |
| HORIZON | HMO | $4,127.95 | ↑ +1443% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,160.75 | ↑ +1455% |
| HORIZON | INDEMNITY | $4,187.18 | ↑ +1465% |
| HORIZON | PPO | $4,225.36 | ↑ +1479% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1519% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $284.66 | $165.53 – $4,332.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $4,332.00 |
| Palisades Medical Center | North Bergen | $284.66 | $182.60 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $4,332.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $4,332.00 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $264.17 – $4,332.00 |