Pet fdg brain metoblic eval sb at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,614.45
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.
$4,503.00
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.
$369.72 with UNITED HEALTHCARE vs $4,052.70 with AETNA — 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 | $369.72 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $738.49 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $810.54 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $842.06 | ↓ -48% |
| VACCN | ALL PRODUCTS | $1,614.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,614.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,614.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,614.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,695.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,759.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,937.35 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,741.88 | ↑ +70% |
| AMERIHEALTH | LOCAL HMO | $2,884.17 | ↑ +79% |
| HORIZON | PIP | $2,904.44 | ↑ +80% |
| HORIZON | WORKERS COMP | $2,904.44 | ↑ +80% |
| AMERIHEALTH | REGIONAL HMO | $2,934.07 | ↑ +82% |
| HORIZON | OMNIA | $3,075.10 | ↑ +90% |
| BERGEN RISK | ALL PRODUCTS | $3,377.25 | ↑ +109% |
| QUALCARE | PPO | $3,498.83 | ↑ +117% |
| QUALCARE | HMO | $3,498.83 | ↑ +117% |
| AETNA | ASA | $3,525.85 | ↑ +118% |
| CIGNA | BH | $3,602.40 | ↑ +123% |
| HORIZON | SHP | $3,760.46 | ↑ +133% |
| HORIZON | HMO | $3,797.38 | ↑ +135% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,827.55 | ↑ +137% |
| HORIZON | INDEMNITY | $3,851.87 | ↑ +139% |
| HORIZON | PPO | $3,886.99 | ↑ +141% |
| QUALCARE | WORKERS COMP | $3,962.64 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $4,008.02 | ↑ +148% |
| UNITED HEALTHCARE | HMO | $4,008.02 | ↑ +148% |
| CIGNA | PPO | $4,009.56 | ↑ +148% |
| CIGNA | HMO | $4,009.56 | ↑ +148% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,052.70 | ↑ +151% |
| AETNA | PPO | $4,052.70 | ↑ +151% |
| AETNA | HMO | $4,052.70 | ↑ +151% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pet fdg brain metoblic eval sb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $839.76 | $1,101.60 – $3,188.12 |
| Newark Beth Israel Medical Center | Newark | $931.93 | $1,134.00 – $3,272.84 |
| Jersey City Medical Center | Jersey City | $929.69 | $1,425.60 – $3,418.26 |
| Monmouth Medical Center | Long Branch | $978.91 | $1,614.45 – $3,212.76 |
| Hackensack University Medical Center | Hackensack | $1,717.72 | $1,374.18 – $6,637.00 |
| Ocean University Medical Center | Brick | $1,594.06 | $369.72 – $4,009.56 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,615.86 | $1,458.59 – $4,244.87 |
| Jersey Shore University Medical Center | Neptune City | $1,614.45 | $369.72 – $4,548.34 |