healthcosts.net
Nuclear Stress Test (Heart) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,444.98
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.
$6,381.00
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.
$696.53 with UNITED HEALTHCARE vs $5,742.90 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $696.53 | ↓ -52% |
| AMERIHEALTH | LOCAL HMO | $1,014.43 | ↓ -30% |
| AMERIHEALTH | REGIONAL HMO | $1,031.98 | ↓ -29% |
| AETNA | MANAGED MEDICAID | $1,046.48 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $1,148.58 | ↓ -21% |
| AETNA | PPO | $1,150.74 | ↓ -20% |
| AETNA | HMO | $1,150.74 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,193.25 | ↓ -17% |
| CIGNA | PPO | $1,444.85 | ↓ -0% |
| CIGNA | HMO | $1,444.85 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,444.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,444.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,517.23 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,575.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,733.98 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $3,535.83 | ↑ +145% |
| HORIZON | MANAGED MEDICAID | $3,885.39 | ↑ +169% |
| HORIZON | PIP | $4,115.75 | ↑ +185% |
| HORIZON | WORKERS COMP | $4,115.75 | ↑ +185% |
| HORIZON | OMNIA | $4,357.58 | ↑ +202% |
| BERGEN RISK | ALL PRODUCTS | $4,785.75 | ↑ +231% |
| QUALCARE | HMO | $4,958.04 | ↑ +243% |
| QUALCARE | PPO | $4,958.04 | ↑ +243% |
| AETNA | ASA | $4,996.32 | ↑ +246% |
| CIGNA | BH | $5,104.80 | ↑ +253% |
| HORIZON | SHP | $5,328.77 | ↑ +269% |
| HORIZON | HMO | $5,381.10 | ↑ +272% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,423.85 | ↑ +275% |
| HORIZON | INDEMNITY | $5,458.31 | ↑ +278% |
| HORIZON | PPO | $5,508.08 | ↑ +281% |
| QUALCARE | WORKERS COMP | $5,615.28 | ↑ +289% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,742.90 | ↑ +297% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear Stress Test (Heart) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,537.41 | $249.77 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $696.53 – $5,820.00 |