Njx aa&/strd nrv nrvtg si jt at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$766.52
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.
$1,813.00
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.
$297.33 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $297.33 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $326.34 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $328.15 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $339.03 | ↓ -56% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $766.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $766.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $766.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $766.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $804.85 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $919.83 | ↑ +20% |
| HORIZON | PIP | $1,169.39 | ↑ +53% |
| HORIZON | WORKERS COMP | $1,169.39 | ↑ +53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +55% |
| HORIZON | OMNIA | $1,238.10 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $1,359.75 | ↑ +77% |
| QUALCARE | PPO | $1,408.70 | ↑ +84% |
| AETNA | ASA | $1,419.58 | ↑ +85% |
| CIGNA | BH | $1,450.40 | ↑ +89% |
| HORIZON | SHP | $1,514.04 | ↑ +98% |
| HORIZON | HMO | $1,528.90 | ↑ +99% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,541.05 | ↑ +101% |
| HORIZON | INDEMNITY | $1,550.84 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $1,557.73 | ↑ +103% |
| HORIZON | PPO | $1,564.98 | ↑ +104% |
| QUALCARE | WORKERS COMP | $1,595.44 | ↑ +108% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +110% |
| AMERIHEALTH | REGIONAL HMO | $1,764.41 | ↑ +130% |
| CIGNA | HMO | $2,247.00 | ↑ +193% |
| CIGNA | PPO | $2,518.00 | ↑ +228% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +428% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +546% |
| QUALCARE | HMO | $6,256.00 | ↑ +716% |
| AETNA | HMO | $8,419.00 | ↑ +998% |
| AETNA | PPO | $8,419.00 | ↑ +998% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1196% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Njx aa&/strd nrv nrvtg si jt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $118.39 – $1,513.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $156.21 – $1,553.90 |
| Community Medical Center | Toms River | $3,786.00 | $156.21 – $1,506.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $156.21 – $1,546.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $121.87 – $1,553.90 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $153.21 – $1,622.94 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $156.21 – $1,525.37 |
| Hackensack University Medical Center | Hackensack | $815.55 | $141.61 – $856.33 |