Optx trns-scphprlnr fx dislc at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$7,907.11
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.
$12,495.00
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.
$1,189.00 with UNITED HEALTHCARE vs $12,160.13 with AMERIHEALTH — 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 | $1,189.00 | ↓ -85% |
| HORIZON | MANAGED MEDICAID | $1,308.00 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $2,049.18 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $2,249.10 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,336.57 | ↓ -70% |
| CIGNA | HMO | $3,586.00 | ↓ -55% |
| CIGNA | PPO | $4,013.00 | ↓ -49% |
| QUALCARE | HMO | $6,256.00 | ↓ -21% |
| HORIZON | OMNIA | $6,984.00 | ↓ -12% |
| VACCN | ALL PRODUCTS | $7,907.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,907.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,907.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,907.11 | ↑ +0% |
| HORIZON | SHP | $8,004.00 | ↑ +1% |
| HORIZON | PIP | $8,059.28 | ↑ +2% |
| HORIZON | WORKERS COMP | $8,059.28 | ↑ +2% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,302.46 | ↑ +5% |
| AETNA | PPO | $8,419.00 | ↑ +6% |
| AETNA | HMO | $8,419.00 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $8,618.75 | ↑ +9% |
| HORIZON | HMO | $8,627.00 | ↑ +9% |
| HORIZON | INDEMNITY | $8,748.00 | ↑ +11% |
| HORIZON | PPO | $8,830.00 | ↑ +12% |
| BERGEN RISK | ALL PRODUCTS | $9,371.25 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $9,488.53 | ↑ +20% |
| QUALCARE | PPO | $9,708.62 | ↑ +23% |
| AETNA | ASA | $9,783.59 | ↑ +24% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +26% |
| CIGNA | BH | $9,996.00 | ↑ +26% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,620.75 | ↑ +34% |
| AMERIHEALTH | LOCAL HMO | $10,735.70 | ↑ +36% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $12,160.13 | ↑ +54% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Optx trns-scphprlnr fx dislc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $381.40 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $527.58 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $540.29 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $521.22 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $392.62 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $493.57 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,042.45 – $15,735.15 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $1,603.03 – $8,833.53 |