Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$66.46
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.
$206.00
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.
$37.08 with CLOVER vs $447.00 with OXFORD — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $37.08 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $38.52 | ↓ -42% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -10% |
| AETNA | MANAGED MEDICAID | $66.46 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $66.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $66.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $72.44 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $79.75 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $121.33 | ↑ +83% |
| HORIZON | WORKERS COMP | $132.87 | ↑ +100% |
| HORIZON | PIP | $132.87 | ↑ +100% |
| HORIZON | OMNIA | $140.68 | ↑ +112% |
| AETNA | PPO | $149.82 | ↑ +125% |
| AETNA | HMO | $149.82 | ↑ +125% |
| QUALCARE | PPO | $160.06 | ↑ +141% |
| AETNA | ASA | $161.30 | ↑ +143% |
| CIGNA | BH | $164.80 | ↑ +148% |
| HORIZON | SHP | $172.03 | ↑ +159% |
| HORIZON | HMO | $173.72 | ↑ +161% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $175.10 | ↑ +163% |
| HORIZON | INDEMNITY | $176.21 | ↑ +165% |
| AMERIHEALTH | LOCAL HMO | $177.00 | ↑ +166% |
| HORIZON | PPO | $177.82 | ↑ +168% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $185.40 | ↑ +179% |
| CIGNA | HMO | $197.00 | ↑ +196% |
| CIGNA | PPO | $197.00 | ↑ +196% |
| AMERIHEALTH | REGIONAL HMO | $200.48 | ↑ +202% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +237% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +237% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +318% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +338% |
| QUALCARE | HMO | $306.00 | ↑ +360% |
| UNITED HEALTHCARE | HMO | $359.00 | ↑ +440% |
| OXFORD | ALL PRODUCTS | $447.00 | ↑ +573% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $82.40 | $29.87 – $29.87 |
| Childrens Specialized Hospital | Mountainside | $90.00 | $237.00 – $394.00 |
| Hackensack University Medical Center | Hackensack | $66.46 | $53.17 – $406.00 |
| Ocean University Medical Center | Brick | $66.46 | $60.00 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $66.46 | $60.00 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $66.46 | $53.17 – $561.00 |
| Palisades Medical Center | North Bergen | $66.46 | $22.20 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $66.46 | $66.46 – $471.00 |