Strep b assay w/optic at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$12.73
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.
$53.00
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.
$12.73 with VACCN vs $58.33 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $12.73 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.73 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.73 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $12.73 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $13.88 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $15.28 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $26.13 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $26.13 | ↑ +105% |
| QUALCARE | HMO | $26.29 | ↑ +107% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.33 | ↑ +107% |
| HORIZON | MANAGED MEDICAID | $32.27 | ↑ +153% |
| HORIZON | WORKERS COMP | $34.19 | ↑ +169% |
| HORIZON | PIP | $34.19 | ↑ +169% |
| HORIZON | OMNIA | $36.19 | ↑ +184% |
| AETNA | HMO | $36.46 | ↑ +186% |
| AETNA | PPO | $36.46 | ↑ +186% |
| BERGEN RISK | ALL PRODUCTS | $39.75 | ↑ +212% |
| QUALCARE | PPO | $41.18 | ↑ +223% |
| AETNA | ASA | $41.50 | ↑ +226% |
| CIGNA | BH | $42.40 | ↑ +233% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $42.40 | ↑ +233% |
| HORIZON | SHP | $44.26 | ↑ +248% |
| HORIZON | HMO | $44.69 | ↑ +251% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $45.05 | ↑ +254% |
| HORIZON | INDEMNITY | $45.34 | ↑ +256% |
| AMERIHEALTH | LOCAL HMO | $45.54 | ↑ +258% |
| HORIZON | PPO | $45.75 | ↑ +259% |
| QUALCARE | WORKERS COMP | $46.64 | ↑ +266% |
| AMERIHEALTH | REGIONAL HMO | $51.58 | ↑ +305% |
| CIGNA | PPO | $58.33 | ↑ +358% |
| CIGNA | HMO | $58.33 | ↑ +358% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Strep b assay w/optic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $14.00 | $5.98 – $52.08 |
| Cooperman Barnabas Medical Center | Livingston | $14.00 | $5.98 – $52.08 |
| Community Medical Center | Toms River | $14.00 | $5.98 – $52.08 |
| Clara Maass Medical Center | Belleville | $14.00 | $5.98 – $52.08 |
| Newark Beth Israel Medical Center | Newark | $14.00 | $5.98 – $52.08 |
| Jersey City Medical Center | Jersey City | $14.00 | $5.98 – $52.08 |
| Monmouth Medical Center | Long Branch | $14.00 | $5.98 – $52.08 |
| Hackensack University Medical Center | Hackensack | $12.73 | $9.28 – $57.16 |