Ph1 assmt&mgmt nqhp 11-20 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$30.24
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.
$79.00
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.
$14.22 with CLOVER vs $76.88 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $14.22 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14.77 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $30.24 | ↑ +0% |
| VACCN | ALL PRODUCTS | $30.24 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $30.24 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $30.24 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $30.24 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $31.75 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $32.96 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $36.29 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $44.79 | ↑ +48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $46.53 | ↑ +54% |
| HORIZON | MANAGED MEDICAID | $48.10 | ↑ +59% |
| HORIZON | WORKERS COMP | $50.96 | ↑ +69% |
| HORIZON | PIP | $50.96 | ↑ +69% |
| OXFORD | ALL PRODUCTS | $51.75 | ↑ +71% |
| HORIZON | OMNIA | $53.95 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $59.25 | ↑ +96% |
| QUALCARE | PPO | $61.38 | ↑ +103% |
| QUALCARE | HMO | $61.38 | ↑ +103% |
| AETNA | ASA | $61.86 | ↑ +105% |
| CIGNA | BH | $63.20 | ↑ +109% |
| HORIZON | SHP | $65.97 | ↑ +118% |
| HORIZON | HMO | $66.62 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $67.15 | ↑ +122% |
| HORIZON | INDEMNITY | $67.58 | ↑ +123% |
| AMERIHEALTH | LOCAL HMO | $67.88 | ↑ +124% |
| HORIZON | PPO | $68.19 | ↑ +125% |
| QUALCARE | WORKERS COMP | $69.52 | ↑ +130% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $71.10 | ↑ +135% |
| AETNA | PPO | $71.10 | ↑ +135% |
| AETNA | HMO | $71.10 | ↑ +135% |
| CIGNA | PPO | $75.55 | ↑ +150% |
| CIGNA | HMO | $75.55 | ↑ +150% |
| AMERIHEALTH | REGIONAL HMO | $76.88 | ↑ +154% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $30.24 | $24.19 – $37.16 |
| Ocean University Medical Center | Brick | $30.24 | $30.24 – $36.29 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $30.24 | $30.24 – $37.16 |
| Jersey Shore University Medical Center | Neptune City | $30.24 | $24.19 – $36.29 |
| Palisades Medical Center | North Bergen | $30.24 | $30.24 – $37.16 |
| Raritan Bay Medical Center | Perth Amboy | $30.24 | $30.24 – $37.16 |
| Riverview Medical Center | Red Bank | $30.24 | $30.24 – $36.29 |
| Southern Ocean Medical Center | Manahawkin | $30.24 | $30.24 – $36.29 |