Nm radiopharmaceutical therapy oral administration at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$248.08
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.
$2,585.00
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.
$139.43 with AETNA vs $2,472.04 with CIGNA — 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 |
|---|---|---|---|
| AETNA | PPO | $139.43 | ↓ -44% |
| AETNA | HMO | $139.43 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $196.39 | ↓ -21% |
| WELLCARE | MANAGED MEDICAID | $248.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $248.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $248.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $248.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $260.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $270.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $297.70 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $423.94 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $437.60 | ↑ +76% |
| AMERIHEALTH | REGIONAL HMO | $445.17 | ↑ +79% |
| CLOVER | MEDICARE ADVANTAGE | $465.30 | ↑ +88% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $483.40 | ↑ +95% |
| OXFORD | ALL PRODUCTS | $675.85 | ↑ +172% |
| UNITED HEALTHCARE | HMO | $675.85 | ↑ +172% |
| QUALCARE | HMO | $1,209.78 | ↑ +388% |
| QUALCARE | WORKERS COMP | $1,331.28 | ↑ +437% |
| QUALCARE | PPO | $1,331.28 | ↑ +437% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,370.05 | ↑ +452% |
| HORIZON | MANAGED MEDICAID | $1,574.01 | ↑ +534% |
| HORIZON | PIP | $1,667.33 | ↑ +572% |
| HORIZON | WORKERS COMP | $1,667.33 | ↑ +572% |
| HORIZON | OMNIA | $1,765.30 | ↑ +612% |
| BERGEN RISK | ALL PRODUCTS | $1,938.75 | ↑ +682% |
| AETNA | ASA | $2,024.06 | ↑ +716% |
| CIGNA | BH | $2,068.00 | ↑ +734% |
| HORIZON | SHP | $2,158.73 | ↑ +770% |
| HORIZON | HMO | $2,179.93 | ↑ +779% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,197.25 | ↑ +786% |
| HORIZON | INDEMNITY | $2,211.21 | ↑ +791% |
| HORIZON | PPO | $2,231.37 | ↑ +799% |
| CIGNA | PPO | $2,472.04 | ↑ +896% |
| CIGNA | HMO | $2,472.04 | ↑ +896% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $625.79 | $68.48 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $604.97 | $144.33 – $828.00 |
| Community Medical Center | Toms River | $691.47 | $132.48 – $828.00 |
| Clara Maass Medical Center | Belleville | $353.84 | $144.33 – $828.00 |
| Newark Beth Israel Medical Center | Newark | $594.69 | $70.50 – $828.00 |
| Jersey City Medical Center | Jersey City | $692.80 | $88.62 – $805.00 |
| Monmouth Medical Center | Long Branch | $729.47 | $136.36 – $828.00 |
| Hackensack University Medical Center | Hackensack | $263.95 | $144.96 – $771.95 |