Prcrd drg 6+yr without anomly at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$5,253.00
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.
$861.49 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $861.49 | — |
| CLOVER | MEDICARE ADVANTAGE | $945.54 | — |
| AETNA | MEDICARE ADVANTAGE | $950.79 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $982.31 | — |
| HORIZON | MANAGED MEDICAID | $1,613.00 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | — |
| HORIZON | WORKERS COMP | $3,388.19 | — |
| HORIZON | PIP | $3,388.19 | — |
| HORIZON | OMNIA | $3,587.27 | — |
| BERGEN RISK | ALL PRODUCTS | $3,939.75 | — |
| QUALCARE | PPO | $4,081.58 | — |
| AETNA | ASA | $4,113.10 | — |
| CIGNA | BH | $4,202.40 | — |
| HORIZON | SHP | $4,386.78 | — |
| HORIZON | HMO | $4,429.85 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,465.05 | — |
| HORIZON | INDEMNITY | $4,493.42 | — |
| AMERIHEALTH | LOCAL HMO | $4,513.38 | — |
| HORIZON | PPO | $4,534.39 | — |
| QUALCARE | WORKERS COMP | $4,622.64 | — |
| CIGNA | PPO | $4,721.92 | — |
| CIGNA | HMO | $4,721.92 | — |
| AMERIHEALTH | REGIONAL HMO | $5,112.22 | — |
| QUALCARE | HMO | $6,256.00 | — |
| OXFORD | ALL PRODUCTS | $7,632.00 | — |
| AETNA | HMO | $9,218.00 | — |
| AETNA | PPO | $9,218.00 | — |
| UNITED HEALTHCARE | HMO | $9,461.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $231.98 – $231.98 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $194.76 – $206.05 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $129.08 – $206.05 |
| Trinitas Regional Medical Center | Elizabeth | not published | $121.91 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | not published | $226.52 – $226.52 |
| Clara Maass Medical Center | Belleville | not published | $223.79 – $223.79 |
| Newark Beth Israel Medical Center | Newark | not published | $125.50 – $410.74 |
| Jersey City Medical Center | Jersey City | not published | $157.77 – $245.63 |