Special physics consult at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$146.96
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.
?
What you pay up front if you don't use insurance.
$1,705.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$146.96 with WELLCARE vs $27,297.00 with QUALCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $146.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $146.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $154.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $160.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $176.35 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $279.62 | ↑ +90% |
| CLOVER | MEDICARE ADVANTAGE | $306.90 | ↑ +109% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $318.84 | ↑ +117% |
| AMERIHEALTH | LOCAL HMO | $495.98 | ↑ +237% |
| AMERIHEALTH | REGIONAL HMO | $542.53 | ↑ +269% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $903.65 | ↑ +515% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,004.25 | ↑ +583% |
| HORIZON | MANAGED MEDICAID | $1,038.17 | ↑ +606% |
| HORIZON | PIP | $1,099.73 | ↑ +648% |
| HORIZON | WORKERS COMP | $1,099.73 | ↑ +648% |
| HORIZON | OMNIA | $1,164.34 | ↑ +692% |
| AETNA | PPO | $1,191.45 | ↑ +711% |
| AETNA | HMO | $1,191.45 | ↑ +711% |
| BERGEN RISK | ALL PRODUCTS | $1,278.75 | ↑ +770% |
| QUALCARE | WORKERS COMP | $1,324.79 | ↑ +801% |
| AETNA | ASA | $1,335.02 | ↑ +808% |
| CIGNA | BH | $1,364.00 | ↑ +828% |
| HORIZON | SHP | $1,423.85 | ↑ +869% |
| HORIZON | HMO | $1,437.83 | ↑ +878% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,449.25 | ↑ +886% |
| HORIZON | INDEMNITY | $1,458.46 | ↑ +892% |
| HORIZON | PPO | $1,471.76 | ↑ +901% |
| CIGNA | HMO | $1,630.49 | ↑ +1009% |
| CIGNA | PPO | $1,630.49 | ↑ +1009% |
| OXFORD | ALL PRODUCTS | $2,774.00 | ↑ +1788% |
| UNITED HEALTHCARE | HMO | $2,820.00 | ↑ +1819% |
| QUALCARE | HMO | $21,431.00 | ↑ +14483% |
| QUALCARE | PPO | $27,297.00 | ↑ +18474% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $324.72 | $76.06 – $491.06 |
| Cooperman Barnabas Medical Center | Livingston | $415.74 | $96.43 – $597.00 |
| Community Medical Center | Toms River | $358.80 | $96.43 – $288.75 |
| Clara Maass Medical Center | Belleville | $579.19 | $96.43 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $408.68 | $78.30 – $597.00 |
| Jersey City Medical Center | Jersey City | $359.49 | $96.43 – $521.31 |
| Monmouth Medical Center | Long Branch | $378.52 | $96.43 – $597.00 |
| Hackensack University Medical Center | Hackensack | $156.36 | $87.42 – $3,250.00 |