Tilt table study at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$587.30
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.
$3,402.00
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.
$557.93 with AETNA vs $3,310.83 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 | $557.93 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $587.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $587.30 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $612.36 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $616.66 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $636.17 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $640.16 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $704.76 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $1,928.59 | ↑ +228% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,003.78 | ↑ +241% |
| HORIZON | MANAGED MEDICAID | $2,071.48 | ↑ +253% |
| OXFORD | ALL PRODUCTS | $2,141.22 | ↑ +265% |
| HORIZON | PIP | $2,194.29 | ↑ +274% |
| HORIZON | WORKERS COMP | $2,194.29 | ↑ +274% |
| HORIZON | OMNIA | $2,323.23 | ↑ +296% |
| BERGEN RISK | ALL PRODUCTS | $2,551.50 | ↑ +334% |
| QUALCARE | PPO | $2,643.35 | ↑ +350% |
| QUALCARE | HMO | $2,643.35 | ↑ +350% |
| AETNA | ASA | $2,663.77 | ↑ +354% |
| CIGNA | BH | $2,721.60 | ↑ +363% |
| HORIZON | SHP | $2,841.01 | ↑ +384% |
| HORIZON | HMO | $2,868.91 | ↑ +388% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,891.70 | ↑ +392% |
| HORIZON | INDEMNITY | $2,910.07 | ↑ +395% |
| AMERIHEALTH | LOCAL HMO | $2,923.00 | ↑ +398% |
| HORIZON | PPO | $2,936.61 | ↑ +400% |
| QUALCARE | WORKERS COMP | $2,993.76 | ↑ +410% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,061.80 | ↑ +421% |
| AETNA | PPO | $3,061.80 | ↑ +421% |
| AETNA | HMO | $3,061.80 | ↑ +421% |
| CIGNA | PPO | $3,253.33 | ↑ +454% |
| CIGNA | HMO | $3,253.33 | ↑ +454% |
| AMERIHEALTH | REGIONAL HMO | $3,310.83 | ↑ +464% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tilt table study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $801.29 | $83.30 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $786.99 | $395.00 – $1,190.58 |
| Community Medical Center | Toms River | $885.39 | $395.00 – $1,153.96 |
| Clara Maass Medical Center | Belleville | $672.48 | $345.00 – $1,184.63 |
| Newark Beth Israel Medical Center | Newark | $773.62 | $85.75 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $887.09 | $107.80 – $1,243.49 |
| Monmouth Medical Center | Long Branch | $934.05 | $395.00 – $1,168.73 |
| Hackensack University Medical Center | Hackensack | $624.87 | $284.06 – $2,033.00 |