Nm imaging pulmonary ventilation/perfusion at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$595.79
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.
$2,310.00
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.
$378.84 with AETNA vs $2,079.00 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 | $378.84 | ↓ -36% |
| AMERIHEALTH | LOCAL HMO | $383.89 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $390.53 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $415.80 | ↓ -30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $431.97 | ↓ -27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $506.49 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| AETNA | PPO | $825.69 | ↑ +39% |
| AETNA | HMO | $825.69 | ↑ +39% |
| CIGNA | PPO | $1,026.44 | ↑ +72% |
| CIGNA | HMO | $1,026.44 | ↑ +72% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| HORIZON | MANAGED MEDICAID | $1,406.56 | ↑ +136% |
| HORIZON | PIP | $1,489.95 | ↑ +150% |
| HORIZON | WORKERS COMP | $1,489.95 | ↑ +150% |
| HORIZON | OMNIA | $1,577.50 | ↑ +165% |
| BERGEN RISK | ALL PRODUCTS | $1,732.50 | ↑ +191% |
| QUALCARE | HMO | $1,794.87 | ↑ +201% |
| QUALCARE | PPO | $1,794.87 | ↑ +201% |
| AETNA | ASA | $1,808.73 | ↑ +204% |
| CIGNA | BH | $1,848.00 | ↑ +210% |
| HORIZON | SHP | $1,929.08 | ↑ +224% |
| HORIZON | HMO | $1,948.02 | ↑ +227% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,963.50 | ↑ +230% |
| HORIZON | INDEMNITY | $1,975.97 | ↑ +232% |
| HORIZON | PPO | $1,993.99 | ↑ +235% |
| QUALCARE | WORKERS COMP | $2,032.80 | ↑ +241% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,079.00 | ↑ +249% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $474.13 | $158.53 – $1,324.21 |
| Cooperman Barnabas Medical Center | Livingston | $472.53 | $235.19 – $1,324.21 |
| Community Medical Center | Toms River | $523.89 | $235.19 – $1,324.21 |
| Clara Maass Medical Center | Belleville | $526.68 | $235.19 – $1,324.21 |
| Newark Beth Israel Medical Center | Newark | $464.50 | $163.19 – $1,324.21 |
| Jersey City Medical Center | Jersey City | $524.90 | $205.15 – $1,324.21 |
| Monmouth Medical Center | Long Branch | $552.68 | $235.19 – $1,324.21 |
| Hackensack University Medical Center | Hackensack | $633.90 | $213.21 – $1,513.47 |