Pretreat rbc w enzyme reference at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$189.67
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.
$535.00
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.
$24.40 with UNITED HEALTHCARE vs $597.81 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $24.40 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $87.74 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $100.05 | ↓ -47% |
| VACCN | ALL PRODUCTS | $189.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $206.74 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $227.61 | ↑ +20% |
| QUALCARE | HMO | $265.36 | ↑ +40% |
| HORIZON | MANAGED MEDICAID | $325.76 | ↑ +72% |
| HORIZON | PIP | $345.08 | ↑ +82% |
| HORIZON | WORKERS COMP | $345.08 | ↑ +82% |
| HORIZON | OMNIA | $365.35 | ↑ +93% |
| AETNA | HMO | $368.08 | ↑ +94% |
| AETNA | PPO | $368.08 | ↑ +94% |
| BERGEN RISK | ALL PRODUCTS | $401.25 | ↑ +112% |
| QUALCARE | PPO | $415.70 | ↑ +119% |
| AETNA | ASA | $418.91 | ↑ +121% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $428.00 | ↑ +126% |
| CIGNA | BH | $428.00 | ↑ +126% |
| HORIZON | SHP | $446.78 | ↑ +136% |
| HORIZON | HMO | $451.17 | ↑ +138% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $454.75 | ↑ +140% |
| HORIZON | INDEMNITY | $457.64 | ↑ +141% |
| AMERIHEALTH | LOCAL HMO | $459.67 | ↑ +142% |
| HORIZON | PPO | $461.81 | ↑ +143% |
| QUALCARE | WORKERS COMP | $470.80 | ↑ +148% |
| CIGNA | HMO | $511.62 | ↑ +170% |
| CIGNA | PPO | $511.62 | ↑ +170% |
| AMERIHEALTH | REGIONAL HMO | $520.66 | ↑ +175% |
| OXFORD | ALL PRODUCTS | $597.81 | ↑ +215% |
| UNITED HEALTHCARE | HMO | $597.81 | ↑ +215% |
| 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 w enzyme reference at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $44.48 | $15.30 – $374.56 |
| Cooperman Barnabas Medical Center | Livingston | $73.31 | $11.56 – $384.50 |
| Community Medical Center | Toms River | $49.15 | $11.56 – $372.69 |
| Clara Maass Medical Center | Belleville | $47.13 | $11.56 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $72.07 | $11.56 – $384.50 |
| Monmouth Medical Center | Long Branch | $51.85 | $11.56 – $377.44 |
| Hackensack University Medical Center | Hackensack | $201.80 | $10.48 – $211.89 |
| Ocean University Medical Center | Brick | $187.28 | $16.50 – $187.28 |