Target gsa panel hmtlmph neop at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$759.53
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.
$6,807.00
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.
$141.12 with UNITED HEALTHCARE vs $4,654.82 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $141.12 | ↓ -81% |
| AMERIGROUP | MANAGED MEDICAID | $759.53 | ↑ +0% |
| VACCN | ALL PRODUCTS | $759.53 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $759.53 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $759.53 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $759.53 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $759.53 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $759.53 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $797.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $827.89 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $911.44 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,558.94 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $1,558.94 | ↑ +105% |
| QUALCARE | HMO | $2,372.37 | ↑ +212% |
| HORIZON | MANAGED MEDICAID | $2,912.37 | ↑ +283% |
| HORIZON | PIP | $3,085.04 | ↑ +306% |
| HORIZON | WORKERS COMP | $3,085.04 | ↑ +306% |
| HORIZON | OMNIA | $3,266.31 | ↑ +330% |
| AETNA | PPO | $3,290.70 | ↑ +333% |
| AETNA | HMO | $3,290.70 | ↑ +333% |
| CIGNA | HMO | $3,480.43 | ↑ +358% |
| CIGNA | PPO | $3,480.43 | ↑ +358% |
| BERGEN RISK | ALL PRODUCTS | $3,587.25 | ↑ +372% |
| QUALCARE | PPO | $3,716.39 | ↑ +389% |
| AETNA | ASA | $3,745.09 | ↑ +393% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,826.40 | ↑ +404% |
| CIGNA | BH | $3,826.40 | ↑ +404% |
| HORIZON | SHP | $3,994.28 | ↑ +426% |
| HORIZON | HMO | $4,033.50 | ↑ +431% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,065.55 | ↑ +435% |
| HORIZON | INDEMNITY | $4,091.38 | ↑ +439% |
| AMERIHEALTH | LOCAL HMO | $4,109.55 | ↑ +441% |
| HORIZON | PPO | $4,128.69 | ↑ +444% |
| QUALCARE | WORKERS COMP | $4,209.04 | ↑ +454% |
| AMERIHEALTH | REGIONAL HMO | $4,654.82 | ↑ +513% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $835.48 | $356.98 – $3,097.71 |
| Cooperman Barnabas Medical Center | Livingston | $835.48 | $356.98 – $3,097.71 |
| Community Medical Center | Toms River | $835.48 | $356.98 – $3,097.71 |
| Clara Maass Medical Center | Belleville | $835.48 | $356.98 – $3,097.71 |
| Newark Beth Israel Medical Center | Newark | $835.48 | $356.98 – $3,097.71 |
| Jersey City Medical Center | Jersey City | $835.48 | $356.98 – $3,097.71 |
| Monmouth Medical Center | Long Branch | $835.48 | $356.98 – $3,097.71 |
| Hackensack University Medical Center | Hackensack | $759.53 | $385.59 – $3,410.66 |