Pretreat rbc absorption reference at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$65.75
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.
$231.00
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.
$18.04 with AETNA vs $107.05 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 | $18.04 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.57 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $34.53 | ↓ -47% |
| QUALCARE | HMO | $54.56 | ↓ -17% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $66.98 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $69.46 | ↑ +6% |
| UNITED HEALTHCARE | HMO | $69.46 | ↑ +6% |
| HORIZON | PIP | $70.95 | ↑ +8% |
| HORIZON | WORKERS COMP | $70.95 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| HORIZON | OMNIA | $75.12 | ↑ +14% |
| AETNA | PPO | $75.68 | ↑ +15% |
| AETNA | HMO | $75.68 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $82.50 | ↑ +25% |
| QUALCARE | PPO | $85.47 | ↑ +30% |
| AETNA | ASA | $86.13 | ↑ +31% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $88.00 | ↑ +34% |
| CIGNA | BH | $88.00 | ↑ +34% |
| HORIZON | SHP | $91.86 | ↑ +40% |
| HORIZON | HMO | $92.76 | ↑ +41% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $93.50 | ↑ +42% |
| HORIZON | INDEMNITY | $94.09 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $94.51 | ↑ +44% |
| HORIZON | PPO | $94.95 | ↑ +44% |
| QUALCARE | WORKERS COMP | $96.80 | ↑ +47% |
| CIGNA | PPO | $105.19 | ↑ +60% |
| CIGNA | HMO | $105.19 | ↑ +60% |
| AMERIHEALTH | REGIONAL HMO | $107.05 | ↑ +63% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc absorption reference at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $52.74 | $15.96 – $135.46 |
| Cooperman Barnabas Medical Center | Livingston | $28.81 | $15.96 – $134.87 |
| Community Medical Center | Toms River | $58.27 | $15.96 – $134.87 |
| Clara Maass Medical Center | Belleville | $33.01 | $15.96 – $134.87 |
| Newark Beth Israel Medical Center | Newark | $28.32 | $15.96 – $134.87 |
| Monmouth Medical Center | Long Branch | $61.48 | $15.96 – $134.87 |
| Hackensack University Medical Center | Hackensack | $69.95 | $15.73 – $79.68 |
| Ocean University Medical Center | Brick | $64.92 | $34.53 – $78.03 |