healthcosts.net
Screening Mammogram at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$169.06
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.
$748.00
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.
$119.35 with AMERIHEALTH vs $673.20 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 | $119.35 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $121.41 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $134.64 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $139.88 | ↓ -17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.87 | ↓ -7% |
| WELLCARE | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $169.06 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $169.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $169.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $169.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $177.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $184.28 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $202.87 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $261.68 | ↑ +55% |
| OXFORD | ALL PRODUCTS | $261.68 | ↑ +55% |
| AETNA | PPO | $279.28 | ↑ +65% |
| AETNA | HMO | $279.28 | ↑ +65% |
| CIGNA | PPO | $341.87 | ↑ +102% |
| CIGNA | HMO | $341.87 | ↑ +102% |
| HORIZON | MANAGED MEDICAID | $455.46 | ↑ +169% |
| HORIZON | PIP | $482.46 | ↑ +185% |
| HORIZON | WORKERS COMP | $482.46 | ↑ +185% |
| HORIZON | OMNIA | $510.81 | ↑ +202% |
| BERGEN RISK | ALL PRODUCTS | $561.00 | ↑ +232% |
| QUALCARE | HMO | $581.20 | ↑ +244% |
| QUALCARE | PPO | $581.20 | ↑ +244% |
| AETNA | ASA | $585.68 | ↑ +246% |
| CIGNA | BH | $598.40 | ↑ +254% |
| HORIZON | SHP | $624.65 | ↑ +269% |
| HORIZON | HMO | $630.79 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $635.80 | ↑ +276% |
| HORIZON | INDEMNITY | $639.84 | ↑ +278% |
| HORIZON | PPO | $645.67 | ↑ +282% |
| QUALCARE | WORKERS COMP | $658.24 | ↑ +289% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $673.20 | ↑ +298% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Screening Mammogram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $169.06 | $106.22 – $673.20 |
| Hackensack University Medical Center | Hackensack | $169.06 | $98.12 – $754.20 |