Noonan spectrum disorders at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,143.60
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.
$3,713.00
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.
$371.30 with HORIZON vs $9,822.73 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $371.30 | ↓ -83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $945.90 | ↓ -56% |
| QUALCARE | HMO | $1,841.65 | ↓ -14% |
| WELLCARE | MANAGED MEDICAID | $2,143.60 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $2,143.60 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $2,143.60 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,143.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,143.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,143.60 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $2,143.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,250.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,336.52 | ↑ +9% |
| HORIZON | PIP | $2,394.89 | ↑ +12% |
| HORIZON | WORKERS COMP | $2,394.89 | ↑ +12% |
| HORIZON | OMNIA | $2,535.61 | ↑ +18% |
| AETNA | HMO | $2,554.54 | ↑ +19% |
| AETNA | PPO | $2,554.54 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $2,572.32 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $2,784.75 | ↑ +30% |
| QUALCARE | PPO | $2,885.00 | ↑ +35% |
| AETNA | ASA | $2,907.28 | ↑ +36% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,970.40 | ↑ +39% |
| CIGNA | BH | $2,970.40 | ↑ +39% |
| HORIZON | SHP | $3,100.73 | ↑ +45% |
| HORIZON | HMO | $3,131.17 | ↑ +46% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,156.05 | ↑ +47% |
| HORIZON | INDEMNITY | $3,176.10 | ↑ +48% |
| AMERIHEALTH | LOCAL HMO | $3,190.21 | ↑ +49% |
| HORIZON | PPO | $3,205.06 | ↑ +50% |
| QUALCARE | WORKERS COMP | $3,267.44 | ↑ +52% |
| AMERIHEALTH | REGIONAL HMO | $3,613.49 | ↑ +69% |
| OXFORD | ALL PRODUCTS | $4,399.74 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $4,399.74 | ↑ +105% |
| CIGNA | HMO | $9,822.73 | ↑ +358% |
| CIGNA | PPO | $9,822.73 | ↑ +358% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Noonan spectrum disorders at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,357.96 | $996.77 – $8,741.68 |
| Cooperman Barnabas Medical Center | Livingston | $2,357.96 | $633.25 – $8,741.68 |
| Community Medical Center | Toms River | $2,357.96 | $633.25 – $8,741.68 |
| Clara Maass Medical Center | Belleville | $2,357.96 | $632.30 – $8,741.68 |
| Newark Beth Israel Medical Center | Newark | $2,357.96 | $633.25 – $8,741.68 |
| Jersey City Medical Center | Jersey City | $2,357.96 | $633.25 – $8,741.68 |
| Monmouth Medical Center | Long Branch | $2,357.96 | $633.25 – $8,741.68 |
| Hackensack University Medical Center | Hackensack | $2,143.60 | $1,714.88 – $9,625.81 |