Njx interlaminar crv/thrc at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$985.43
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.
$2,167.00
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.
$355.39 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 | $355.39 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $390.06 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $405.23 | ↓ -59% |
| VACCN | ALL PRODUCTS | $985.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $985.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $985.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $985.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,034.70 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,074.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,182.51 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +21% |
| HORIZON | PIP | $1,397.72 | ↑ +42% |
| HORIZON | WORKERS COMP | $1,397.72 | ↑ +42% |
| HORIZON | OMNIA | $1,479.84 | ↑ +50% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +64% |
| BERGEN RISK | ALL PRODUCTS | $1,625.25 | ↑ +65% |
| QUALCARE | PPO | $1,683.76 | ↑ +71% |
| AETNA | ASA | $1,696.76 | ↑ +72% |
| CIGNA | BH | $1,733.60 | ↑ +76% |
| HORIZON | SHP | $1,809.66 | ↑ +84% |
| HORIZON | HMO | $1,827.43 | ↑ +85% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,841.95 | ↑ +87% |
| HORIZON | INDEMNITY | $1,853.65 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $1,861.89 | ↑ +89% |
| HORIZON | PPO | $1,870.55 | ↑ +90% |
| QUALCARE | WORKERS COMP | $1,906.96 | ↑ +94% |
| AMERIHEALTH | REGIONAL HMO | $2,108.92 | ↑ +114% |
| CIGNA | HMO | $3,135.00 | ↑ +218% |
| CIGNA | PPO | $3,508.00 | ↑ +256% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +311% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +402% |
| QUALCARE | HMO | $6,256.00 | ↑ +535% |
| AETNA | PPO | $8,419.00 | ↑ +754% |
| AETNA | HMO | $8,419.00 | ↑ +754% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +908% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Njx interlaminar crv/thrc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $70.10 – $1,945.96 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $125.26 – $1,997.66 |
| Community Medical Center | Toms River | $3,786.00 | $128.28 – $1,936.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $123.75 – $1,987.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $72.17 – $1,997.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $90.72 – $2,086.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $247.51 – $1,961.01 |
| Hackensack University Medical Center | Hackensack | $1,048.46 | $184.91 – $1,100.88 |