Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$142.64
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.
$342.00
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.
$56.09 with AETNA vs $332.83 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $56.09 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $61.56 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $63.95 | ↓ -55% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.64 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.48 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.17 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $193.88 | ↑ +36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $201.44 | ↑ +41% |
| HORIZON | MANAGED MEDICAID | $208.24 | ↑ +46% |
| HORIZON | PIP | $220.59 | ↑ +55% |
| HORIZON | WORKERS COMP | $220.59 | ↑ +55% |
| OXFORD | ALL PRODUCTS | $224.04 | ↑ +57% |
| HORIZON | OMNIA | $233.55 | ↑ +64% |
| BERGEN RISK | ALL PRODUCTS | $256.50 | ↑ +80% |
| QUALCARE | HMO | $265.73 | ↑ +86% |
| QUALCARE | PPO | $265.73 | ↑ +86% |
| AETNA | ASA | $267.79 | ↑ +88% |
| CIGNA | BH | $273.60 | ↑ +92% |
| HORIZON | SHP | $285.60 | ↑ +100% |
| HORIZON | HMO | $288.41 | ↑ +102% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $290.70 | ↑ +104% |
| HORIZON | INDEMNITY | $292.55 | ↑ +105% |
| AMERIHEALTH | LOCAL HMO | $293.85 | ↑ +106% |
| HORIZON | PPO | $295.21 | ↑ +107% |
| QUALCARE | WORKERS COMP | $300.96 | ↑ +111% |
| AETNA | PPO | $307.80 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $307.80 | ↑ +116% |
| AETNA | HMO | $307.80 | ↑ +116% |
| CIGNA | HMO | $327.05 | ↑ +129% |
| CIGNA | PPO | $327.05 | ↑ +129% |
| AMERIHEALTH | REGIONAL HMO | $332.83 | ↑ +133% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $151.77 | $121.41 – $232.25 |
| Ocean University Medical Center | Brick | $140.84 | $128.87 – $225.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $128.87 – $232.25 |
| Jersey Shore University Medical Center | Neptune City | $142.64 | $142.64 – $225.42 |
| Palisades Medical Center | North Bergen | $151.77 | $151.77 – $232.25 |
| Raritan Bay Medical Center | Perth Amboy | $142.76 | $142.76 – $232.25 |
| Riverview Medical Center | Red Bank | $142.64 | $142.64 – $225.42 |
| Southern Ocean Medical Center | Manahawkin | $140.84 | $140.84 – $225.42 |