healthcosts.net
Prenatal Care Only (4-6 visits) 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.
?
What you pay up front if you don't use insurance.
$1,070.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$192.60 with CLOVER vs $1,041.32 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $192.60 | — |
| AETNA | MEDICARE ADVANTAGE | $193.67 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $200.09 | — |
| AETNA | MANAGED MEDICAID | $533.79 | — |
| UNITED HEALTHCARE | HMO | $606.58 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $630.23 | — |
| HORIZON | MANAGED MEDICAID | $651.52 | — |
| HORIZON | PIP | $690.15 | — |
| HORIZON | WORKERS COMP | $690.15 | — |
| OXFORD | ALL PRODUCTS | $700.96 | — |
| HORIZON | OMNIA | $730.70 | — |
| BERGEN RISK | ALL PRODUCTS | $802.50 | — |
| QUALCARE | HMO | $831.39 | — |
| QUALCARE | PPO | $831.39 | — |
| AETNA | ASA | $837.81 | — |
| CIGNA | BH | $856.00 | — |
| HORIZON | SHP | $893.56 | — |
| HORIZON | HMO | $902.33 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $909.50 | — |
| HORIZON | INDEMNITY | $915.28 | — |
| AMERIHEALTH | LOCAL HMO | $919.34 | — |
| HORIZON | PPO | $923.62 | — |
| QUALCARE | WORKERS COMP | $941.60 | — |
| AETNA | PPO | $963.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $963.00 | — |
| AETNA | HMO | $963.00 | — |
| AMERIHEALTH | REGIONAL HMO | $1,041.32 | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Prenatal Care Only (4-6 visits) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | not published | $192.60 – $963.00 |
| Ocean University Medical Center | Brick | not published | $192.60 – $963.00 |