Procainamide 100 mg/ml injection (wrapper) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$194.32
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.
$2,845.93
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.
$5.12 with CLOVER vs $2,561.34 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $5.12 | ↓ -97% |
| HORIZON | MANAGED MEDICAID | $165.17 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $194.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $211.81 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $233.18 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $827.88 | ↑ +326% |
| AMERIHEALTH | REGIONAL HMO | $905.57 | ↑ +366% |
| WELLCARE | MEDICARE ADVANTAGE | $1,280.67 | ↑ +559% |
| WELLCARE | MANAGED MEDICAID | $1,280.67 | ↑ +559% |
| QUALCARE | HMO | $1,331.90 | ↑ +585% |
| AETNA | MANAGED MEDICAID | $1,394.51 | ↑ +618% |
| CIGNA | HMO | $1,408.74 | ↑ +625% |
| CIGNA | PPO | $1,408.74 | ↑ +625% |
| AMERIGROUP | MANAGED MEDICAID | $1,422.97 | ↑ +632% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,422.97 | ↑ +632% |
| QUALCARE | PPO | $1,465.65 | ↑ +654% |
| QUALCARE | WORKERS COMP | $1,465.65 | ↑ +654% |
| OXFORD | ALL PRODUCTS | $1,539.65 | ↑ +692% |
| UNITED HEALTHCARE | HMO | $1,539.65 | ↑ +692% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,676.25 | ↑ +763% |
| BERGEN RISK | ALL PRODUCTS | $1,707.56 | ↑ +779% |
| AETNA | PPO | $1,736.02 | ↑ +793% |
| AETNA | HMO | $1,736.02 | ↑ +793% |
| HORIZON | PIP | $1,835.62 | ↑ +845% |
| HORIZON | WORKERS COMP | $1,835.62 | ↑ +845% |
| HORIZON | OMNIA | $1,943.49 | ↑ +900% |
| AETNA | ASA | $2,228.36 | ↑ +1047% |
| CIGNA | BH | $2,276.74 | ↑ +1072% |
| HORIZON | SHP | $2,376.64 | ↑ +1123% |
| HORIZON | HMO | $2,399.97 | ↑ +1135% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,419.04 | ↑ +1145% |
| HORIZON | INDEMNITY | $2,434.41 | ↑ +1153% |
| HORIZON | PPO | $2,456.61 | ↑ +1164% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,561.34 | ↑ +1218% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $194.32 | $194.32 – $412.74 |
| Ocean University Medical Center | Brick | $194.32 | $97.94 – $231.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $194.32 | $97.94 – $231.63 |
| Jersey Shore University Medical Center | Neptune City | $194.32 | $165.17 – $233.18 |
| Palisades Medical Center | North Bergen | $546.07 | $165.17 – $211.81 |
| Raritan Bay Medical Center | Perth Amboy | $194.32 | $165.17 – $231.63 |
| Riverview Medical Center | Red Bank | $194.32 | $165.17 – $231.63 |
| Southern Ocean Medical Center | Manahawkin | $194.32 | $165.17 – $233.18 |