Radphm lcl tmr plnr bdy two day img at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,444.98
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.
$5,203.00
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.
$596.73 with AMERIHEALTH vs $4,682.70 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $596.73 | ↓ -59% |
| AMERIHEALTH | REGIONAL HMO | $607.05 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $812.16 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $853.29 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $936.54 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $972.96 | ↓ -33% |
| VACCN | ALL PRODUCTS | $1,444.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,444.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| AETNA | PPO | $1,503.85 | ↑ +4% |
| AETNA | HMO | $1,503.85 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,517.23 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,575.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,733.98 | ↑ +20% |
| CIGNA | PPO | $2,225.95 | ↑ +54% |
| CIGNA | HMO | $2,225.95 | ↑ +54% |
| HORIZON | MANAGED MEDICAID | $3,168.11 | ↑ +119% |
| HORIZON | PIP | $3,355.94 | ↑ +132% |
| HORIZON | WORKERS COMP | $3,355.94 | ↑ +132% |
| OXFORD | ALL PRODUCTS | $3,535.83 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +145% |
| HORIZON | OMNIA | $3,553.13 | ↑ +146% |
| BERGEN RISK | ALL PRODUCTS | $3,902.25 | ↑ +170% |
| QUALCARE | HMO | $4,042.73 | ↑ +180% |
| QUALCARE | PPO | $4,042.73 | ↑ +180% |
| AETNA | ASA | $4,073.95 | ↑ +182% |
| CIGNA | BH | $4,162.40 | ↑ +188% |
| HORIZON | SHP | $4,345.03 | ↑ +201% |
| HORIZON | HMO | $4,387.69 | ↑ +204% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,422.55 | ↑ +206% |
| HORIZON | INDEMNITY | $4,450.65 | ↑ +208% |
| HORIZON | PPO | $4,491.23 | ↑ +211% |
| QUALCARE | WORKERS COMP | $4,578.64 | ↑ +217% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,682.70 | ↑ +224% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tmr plnr bdy two day img at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $1,197.02 | $322.59 – $2,929.28 |
| Community Medical Center | Toms River | $1,136.55 | $322.59 – $2,839.19 |
| Clara Maass Medical Center | Belleville | $624.14 | $322.59 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $1,176.68 | $316.40 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $1,138.74 | $322.59 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $1,199.02 | $322.59 – $2,875.51 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $292.43 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $596.73 – $3,535.83 |