#resp virpnl dfa-parainfluenza at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$16.43
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.
$80.00
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.
$16.43 with VACCN vs $77.86 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $16.43 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $16.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $16.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $16.43 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $16.43 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $16.43 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17.25 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $17.91 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $19.72 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $33.72 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $33.72 | ↑ +105% |
| QUALCARE | HMO | $39.68 | ↑ +142% |
| HORIZON | MANAGED MEDICAID | $48.71 | ↑ +196% |
| HORIZON | WORKERS COMP | $51.60 | ↑ +214% |
| HORIZON | PIP | $51.60 | ↑ +214% |
| HORIZON | OMNIA | $54.63 | ↑ +233% |
| AETNA | HMO | $55.04 | ↑ +235% |
| AETNA | PPO | $55.04 | ↑ +235% |
| BERGEN RISK | ALL PRODUCTS | $60.00 | ↑ +265% |
| QUALCARE | PPO | $62.16 | ↑ +278% |
| AETNA | ASA | $62.64 | ↑ +281% |
| CIGNA | BH | $64.00 | ↑ +290% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $64.00 | ↑ +290% |
| HORIZON | SHP | $66.81 | ↑ +307% |
| HORIZON | HMO | $67.46 | ↑ +311% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $68.00 | ↑ +314% |
| HORIZON | INDEMNITY | $68.43 | ↑ +316% |
| AMERIHEALTH | LOCAL HMO | $68.74 | ↑ +318% |
| HORIZON | PPO | $69.06 | ↑ +320% |
| QUALCARE | WORKERS COMP | $70.40 | ↑ +328% |
| CIGNA | HMO | $75.29 | ↑ +358% |
| CIGNA | PPO | $75.29 | ↑ +358% |
| AMERIHEALTH | REGIONAL HMO | $77.86 | ↑ +374% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
#resp virpnl dfa-parainfluenza at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $18.07 | $7.72 – $66.77 |
| Cooperman Barnabas Medical Center | Livingston | $18.07 | $7.72 – $66.77 |
| Community Medical Center | Toms River | $18.07 | $7.72 – $66.77 |
| Clara Maass Medical Center | Belleville | $18.07 | $7.72 – $66.77 |
| Newark Beth Israel Medical Center | Newark | $18.07 | $7.72 – $66.77 |
| Jersey City Medical Center | Jersey City | $18.07 | $7.72 – $66.77 |
| Monmouth Medical Center | Long Branch | $18.07 | $7.72 – $66.77 |
| Hackensack University Medical Center | Hackensack | $16.43 | $9.22 – $73.78 |