Ot re-evaluation patient/family at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$88.55
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.
$231.00
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.
$41.58 with CLOVER vs $749.00 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 | $41.58 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $43.20 | ↓ -51% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $88.55 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $88.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $88.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.98 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $96.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $106.26 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $136.06 | ↑ +54% |
| HORIZON | WORKERS COMP | $149.00 | ↑ +68% |
| HORIZON | PIP | $149.00 | ↑ +68% |
| HORIZON | OMNIA | $157.75 | ↑ +78% |
| AETNA | PPO | $168.01 | ↑ +90% |
| AETNA | HMO | $168.01 | ↑ +90% |
| QUALCARE | PPO | $179.49 | ↑ +103% |
| AETNA | ASA | $180.87 | ↑ +104% |
| CIGNA | BH | $184.80 | ↑ +109% |
| HORIZON | SHP | $192.91 | ↑ +118% |
| HORIZON | HMO | $194.80 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $196.35 | ↑ +122% |
| HORIZON | INDEMNITY | $197.60 | ↑ +123% |
| AMERIHEALTH | LOCAL HMO | $198.48 | ↑ +124% |
| HORIZON | PPO | $199.40 | ↑ +125% |
| CIGNA | HMO | $220.91 | ↑ +149% |
| CIGNA | PPO | $220.91 | ↑ +149% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +153% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +153% |
| AMERIHEALTH | REGIONAL HMO | $224.81 | ↑ +154% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +214% |
| QUALCARE | HMO | $306.00 | ↑ +246% |
| BERGEN RISK | ALL PRODUCTS | $325.00 | ↑ +267% |
| UNITED HEALTHCARE | HMO | $352.00 | ↑ +298% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $355.00 | ↑ +301% |
| OXFORD | ALL PRODUCTS | $749.00 | ↑ +746% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $52.18 | $35.85 – $170.00 |
| Childrens Specialized Hospital | Mountainside | $295.50 | $237.00 – $394.00 |
| Hackensack University Medical Center | Hackensack | $88.55 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $88.55 | $60.00 – $500.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $88.55 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $88.55 | $70.84 – $466.00 |
| Palisades Medical Center | North Bergen | $88.55 | $88.55 – $612.00 |
| Raritan Bay Medical Center | Perth Amboy | $88.55 | $88.55 – $355.00 |