Tbs techl calculation only at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$259.00
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.
$42.48 with AETNA vs $247.68 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $42.48 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $46.62 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $48.43 | ↓ -50% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $53.98 | ↓ -45% |
| AETNA | HMO | $80.90 | ↓ -17% |
| AETNA | PPO | $80.90 | ↓ -17% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| QUALCARE | HMO | $128.46 | ↑ +32% |
| AMERIHEALTH | LOCAL HMO | $149.18 | ↑ +53% |
| AMERIHEALTH | REGIONAL HMO | $151.76 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $157.71 | ↑ +62% |
| HORIZON | WORKERS COMP | $167.06 | ↑ +71% |
| HORIZON | PIP | $167.06 | ↑ +71% |
| HORIZON | OMNIA | $176.87 | ↑ +81% |
| BERGEN RISK | ALL PRODUCTS | $194.25 | ↑ +99% |
| QUALCARE | PPO | $201.24 | ↑ +106% |
| AETNA | ASA | $202.80 | ↑ +108% |
| CIGNA | BH | $207.20 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $207.20 | ↑ +113% |
| HORIZON | SHP | $216.29 | ↑ +122% |
| HORIZON | HMO | $218.41 | ↑ +124% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $220.15 | ↑ +126% |
| HORIZON | INDEMNITY | $221.55 | ↑ +127% |
| HORIZON | PPO | $223.57 | ↑ +129% |
| UNITED HEALTHCARE | HMO | $223.67 | ↑ +129% |
| OXFORD | ALL PRODUCTS | $223.67 | ↑ +129% |
| QUALCARE | WORKERS COMP | $227.92 | ↑ +134% |
| CIGNA | HMO | $247.68 | ↑ +154% |
| CIGNA | PPO | $247.68 | ↑ +154% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tbs techl calculation only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $103.69 | $19.45 – $255.47 |
| Ocean University Medical Center | Brick | $96.23 | $53.98 – $149.18 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $236.88 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $53.98 – $146.61 |
| Palisades Medical Center | North Bergen | $103.69 | $21.46 – $223.67 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $29.43 – $223.67 |
| Riverview Medical Center | Red Bank | $97.46 | $18.31 – $223.67 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $53.98 – $149.18 |