Sbrt w/positron emission del at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,151.28
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.
$19,250.00
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.
$2,774.00 with OXFORD vs $18,408.78 with CIGNA — 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 |
|---|---|---|---|
| OXFORD | ALL PRODUCTS | $2,774.00 | ↓ -33% |
| UNITED HEALTHCARE | HMO | $2,820.00 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $3,157.00 | ↓ -24% |
| CLOVER | MEDICARE ADVANTAGE | $3,465.00 | ↓ -17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,599.75 | ↓ -13% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,151.28 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,151.28 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,151.28 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,151.28 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,358.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,524.89 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,981.53 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $5,599.83 | ↑ +35% |
| AMERIHEALTH | REGIONAL HMO | $6,125.35 | ↑ +48% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,202.50 | ↑ +146% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $11,338.25 | ↑ +173% |
| HORIZON | MANAGED MEDICAID | $11,721.33 | ↑ +182% |
| HORIZON | PIP | $12,416.25 | ↑ +199% |
| HORIZON | WORKERS COMP | $12,416.25 | ↑ +199% |
| HORIZON | OMNIA | $13,145.83 | ↑ +217% |
| AETNA | PPO | $13,451.90 | ↑ +224% |
| AETNA | HMO | $13,451.90 | ↑ +224% |
| BERGEN RISK | ALL PRODUCTS | $14,437.50 | ↑ +248% |
| QUALCARE | PPO | $14,957.25 | ↑ +260% |
| QUALCARE | HMO | $14,957.25 | ↑ +260% |
| AETNA | ASA | $15,072.75 | ↑ +263% |
| CIGNA | BH | $15,400.00 | ↑ +271% |
| HORIZON | SHP | $16,075.68 | ↑ +287% |
| HORIZON | HMO | $16,233.53 | ↑ +291% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,362.50 | ↑ +294% |
| HORIZON | INDEMNITY | $16,466.45 | ↑ +297% |
| HORIZON | PPO | $16,616.60 | ↑ +300% |
| QUALCARE | WORKERS COMP | $16,940.00 | ↑ +308% |
| CIGNA | HMO | $18,408.78 | ↑ +343% |
| CIGNA | PPO | $18,408.78 | ↑ +343% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sbrt w/positron emission del at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $4,416.81 | $3,015.00 – $4,637.65 |
| Ocean University Medical Center | Brick | $4,098.85 | $293.00 – $3,938.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,154.88 | $293.00 – $4,154.88 |
| Jersey Shore University Medical Center | Neptune City | $4,151.28 | $2,789.00 – $4,524.89 |
| Palisades Medical Center | North Bergen | $4,416.81 | $2,755.00 – $4,814.33 |
| Raritan Bay Medical Center | Perth Amboy | $4,154.88 | $2,746.00 – $4,528.82 |
| Riverview Medical Center | Red Bank | $4,151.28 | $2,678.00 – $4,524.89 |
| Southern Ocean Medical Center | Manahawkin | $4,098.85 | $2,703.00 – $4,467.74 |