Spirometry bronchodilation responsiveness pre/post bronchodilator administration at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$344.68
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.
$1,540.00
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.
$252.56 with AETNA vs $1,498.73 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $252.56 | ↓ -27% |
| CLOVER | MEDICARE ADVANTAGE | $277.20 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $287.98 | ↓ -16% |
| WELLCARE | MEDICARE ADVANTAGE | $344.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $344.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $344.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $344.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $361.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $375.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $413.61 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $792.00 | ↑ +130% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $907.06 | ↑ +163% |
| OXFORD | ALL PRODUCTS | $910.00 | ↑ +164% |
| HORIZON | MANAGED MEDICAID | $937.71 | ↑ +172% |
| HORIZON | PIP | $993.30 | ↑ +188% |
| HORIZON | WORKERS COMP | $993.30 | ↑ +188% |
| HORIZON | OMNIA | $1,051.67 | ↑ +205% |
| BERGEN RISK | ALL PRODUCTS | $1,155.00 | ↑ +235% |
| QUALCARE | PPO | $1,196.58 | ↑ +247% |
| QUALCARE | HMO | $1,196.58 | ↑ +247% |
| AETNA | ASA | $1,205.82 | ↑ +250% |
| CIGNA | BH | $1,232.00 | ↑ +257% |
| HORIZON | SHP | $1,286.05 | ↑ +273% |
| HORIZON | HMO | $1,298.68 | ↑ +277% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,309.00 | ↑ +280% |
| HORIZON | INDEMNITY | $1,317.32 | ↑ +282% |
| AMERIHEALTH | LOCAL HMO | $1,323.17 | ↑ +284% |
| HORIZON | PPO | $1,329.33 | ↑ +286% |
| QUALCARE | WORKERS COMP | $1,355.20 | ↑ +293% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,386.00 | ↑ +302% |
| AETNA | PPO | $1,386.00 | ↑ +302% |
| AETNA | HMO | $1,386.00 | ↑ +302% |
| CIGNA | PPO | $1,472.70 | ↑ +327% |
| CIGNA | HMO | $1,472.70 | ↑ +327% |
| AMERIHEALTH | REGIONAL HMO | $1,498.73 | ↑ +335% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Spirometry bronchodilation responsiveness pre/post bronchodilator administration at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $270.47 | $20.30 – $680.64 |
| Cooperman Barnabas Medical Center | Livingston | $299.20 | $349.37 – $698.74 |
| Community Medical Center | Toms River | $298.86 | $340.32 – $677.24 |
| Clara Maass Medical Center | Belleville | $324.40 | $349.37 – $695.25 |
| Newark Beth Israel Medical Center | Newark | $294.11 | $20.90 – $698.74 |
| Jersey City Medical Center | Jersey City | $299.43 | $26.27 – $729.77 |
| Monmouth Medical Center | Long Branch | $315.29 | $344.68 – $685.91 |
| Hackensack University Medical Center | Hackensack | $366.72 | $69.71 – $5,456.00 |