Prgrmg dev eval pm/ldls pm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$41.27
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.
$460.00
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.
$41.27 with WELLCARE vs $447.67 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $41.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $41.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $49.53 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $75.44 | ↑ +83% |
| CLOVER | MEDICARE ADVANTAGE | $82.80 | ↑ +101% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $86.02 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $260.77 | ↑ +532% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $270.94 | ↑ +557% |
| HORIZON | MANAGED MEDICAID | $280.09 | ↑ +579% |
| OXFORD | ALL PRODUCTS | $289.52 | ↑ +602% |
| HORIZON | PIP | $296.70 | ↑ +619% |
| HORIZON | WORKERS COMP | $296.70 | ↑ +619% |
| HORIZON | OMNIA | $314.13 | ↑ +661% |
| BERGEN RISK | ALL PRODUCTS | $345.00 | ↑ +736% |
| QUALCARE | HMO | $357.42 | ↑ +766% |
| QUALCARE | PPO | $357.42 | ↑ +766% |
| AETNA | ASA | $360.18 | ↑ +773% |
| CIGNA | BH | $368.00 | ↑ +792% |
| HORIZON | SHP | $384.15 | ↑ +831% |
| HORIZON | HMO | $387.92 | ↑ +840% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $391.00 | ↑ +847% |
| HORIZON | INDEMNITY | $393.48 | ↑ +853% |
| AMERIHEALTH | LOCAL HMO | $395.23 | ↑ +858% |
| HORIZON | PPO | $397.07 | ↑ +862% |
| QUALCARE | WORKERS COMP | $404.80 | ↑ +881% |
| AETNA | PPO | $414.00 | ↑ +903% |
| AETNA | HMO | $414.00 | ↑ +903% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $414.00 | ↑ +903% |
| CIGNA | HMO | $439.90 | ↑ +966% |
| CIGNA | PPO | $439.90 | ↑ +966% |
| AMERIHEALTH | REGIONAL HMO | $447.67 | ↑ +985% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg dev eval pm/ldls pm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $52.69 | $35.61 – $83.68 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $113.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $113.04 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $118.27 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $41.31 – $118.27 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $113.04 |