New Patient Office Visit (level 3) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$1,870.00
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.
$94.14 with CLOVER vs $1,788.28 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 | $94.14 | — |
| AETNA | MEDICARE ADVANTAGE | $94.66 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $97.80 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $111.00 | — |
| AETNA | MANAGED MEDICAID | $121.57 | — |
| UNITED HEALTHCARE | HMO | $296.49 | — |
| HORIZON | MANAGED MEDICAID | $318.45 | — |
| HORIZON | WORKERS COMP | $337.34 | — |
| HORIZON | PIP | $337.34 | — |
| OXFORD | ALL PRODUCTS | $342.62 | — |
| HORIZON | OMNIA | $357.16 | — |
| BERGEN RISK | ALL PRODUCTS | $392.25 | — |
| QUALCARE | HMO | $406.37 | — |
| QUALCARE | PPO | $406.37 | — |
| AETNA | ASA | $409.51 | — |
| CIGNA | BH | $418.40 | — |
| HORIZON | SHP | $436.76 | — |
| HORIZON | HMO | $441.05 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $444.55 | — |
| HORIZON | INDEMNITY | $447.37 | — |
| AMERIHEALTH | LOCAL HMO | $449.36 | — |
| HORIZON | PPO | $451.45 | — |
| QUALCARE | WORKERS COMP | $460.24 | — |
| AETNA | PPO | $470.70 | — |
| AETNA | HMO | $470.70 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $470.70 | — |
| AMERIHEALTH | REGIONAL HMO | $508.98 | — |
| CIGNA | PPO | $1,788.28 | — |
| CIGNA | HMO | $1,788.28 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $209.20 | $60.06 – $204.40 |
| Trinitas Regional Medical Center | Elizabeth | $108.49 | $59.34 – $64.24 |
| Cooperman Barnabas Medical Center | Livingston | $122.47 | $64.24 – $64.24 |
| Community Medical Center | Toms River | $119.87 | $64.24 – $64.24 |
| Clara Maass Medical Center | Belleville | $114.96 | $64.24 – $64.24 |
| Childrens Specialized Hospital | Mountainside | $300.50 | $175.68 – $175.68 |
| Newark Beth Israel Medical Center | Newark | $120.39 | $61.09 – $64.24 |
| Jersey City Medical Center | Jersey City | $120.10 | $64.24 – $76.80 |