Nr lnr acclrtr tx max 5 sessions at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,943.55
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.
$35,474.00
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.
$1,943.55 with HORIZON BCBS BRAVEN vs $33,923.79 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $1,943.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,943.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,943.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,943.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,040.72 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,118.47 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,332.26 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $5,817.74 | ↑ +199% |
| CLOVER | MEDICARE ADVANTAGE | $6,385.32 | ↑ +229% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,633.64 | ↑ +241% |
| AMERIHEALTH | LOCAL HMO | $10,319.39 | ↑ +431% |
| AMERIHEALTH | REGIONAL HMO | $11,287.83 | ↑ +481% |
| UNITED HEALTHCARE | HMO | $20,110.21 | ↑ +935% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20,894.19 | ↑ +975% |
| QUALCARE | HMO | $21,431.00 | ↑ +1003% |
| OXFORD | ALL PRODUCTS | $22,327.34 | ↑ +1049% |
| HORIZON | PIP | $22,880.73 | ↑ +1077% |
| HORIZON | WORKERS COMP | $22,880.73 | ↑ +1077% |
| HORIZON | OMNIA | $24,225.19 | ↑ +1146% |
| AETNA | PPO | $24,789.23 | ↑ +1175% |
| AETNA | HMO | $24,789.23 | ↑ +1175% |
| HORIZON | MANAGED MEDICAID | $26,043.00 | ↑ +1240% |
| BERGEN RISK | ALL PRODUCTS | $26,605.50 | ↑ +1269% |
| QUALCARE | PPO | $27,297.00 | ↑ +1304% |
| QUALCARE | WORKERS COMP | $27,563.30 | ↑ +1318% |
| AETNA | ASA | $27,776.14 | ↑ +1329% |
| CIGNA | BH | $28,379.20 | ↑ +1360% |
| HORIZON | SHP | $29,624.34 | ↑ +1424% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $29,798.16 | ↑ +1433% |
| HORIZON | HMO | $29,915.22 | ↑ +1439% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $30,152.90 | ↑ +1451% |
| HORIZON | INDEMNITY | $30,344.46 | ↑ +1461% |
| HORIZON | PPO | $30,621.16 | ↑ +1476% |
| CIGNA | HMO | $33,923.79 | ↑ +1645% |
| CIGNA | PPO | $33,923.79 | ↑ +1645% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,355.20 | $376.15 – $5,715.00 |
| Cooperman Barnabas Medical Center | Livingston | $4,751.22 | $1,639.00 – $6,289.00 |
| Community Medical Center | Toms River | $4,812.30 | $1,672.00 – $5,176.00 |
| Clara Maass Medical Center | Belleville | $4,400.26 | $1,639.00 – $4,435.00 |
| Newark Beth Israel Medical Center | Newark | $4,670.50 | $539.01 – $4,831.00 |
| Jersey City Medical Center | Jersey City | $4,821.58 | $677.61 – $5,514.00 |
| Monmouth Medical Center | Long Branch | $5,076.81 | $1,639.00 – $5,277.00 |
| Hackensack University Medical Center | Hackensack | $2,067.87 | $663.00 – $2,171.26 |