Trauma partial team response w/critical care services level 4 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,464.56
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.
$13,299.00
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.
$1,464.56 with VACCN vs $12,942.59 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $1,464.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,464.56 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,464.56 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,464.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,537.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,596.37 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,757.48 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $2,181.04 | ↑ +49% |
| CLOVER | MEDICARE ADVANTAGE | $2,393.82 | ↑ +63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,486.91 | ↑ +70% |
| UNITED HEALTHCARE | HMO | $7,539.20 | ↑ +415% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,833.11 | ↑ +435% |
| HORIZON | MANAGED MEDICAID | $8,097.76 | ↑ +453% |
| HORIZON | WORKERS COMP | $8,577.86 | ↑ +486% |
| HORIZON | PIP | $8,577.86 | ↑ +486% |
| OXFORD | ALL PRODUCTS | $8,712.17 | ↑ +495% |
| HORIZON | OMNIA | $9,081.89 | ↑ +520% |
| BERGEN RISK | ALL PRODUCTS | $9,974.25 | ↑ +581% |
| QUALCARE | PPO | $10,333.32 | ↑ +606% |
| QUALCARE | HMO | $10,333.32 | ↑ +606% |
| AETNA | ASA | $10,413.12 | ↑ +611% |
| CIGNA | BH | $10,639.20 | ↑ +626% |
| HORIZON | SHP | $11,105.99 | ↑ +658% |
| HORIZON | HMO | $11,215.05 | ↑ +666% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,304.15 | ↑ +672% |
| HORIZON | INDEMNITY | $11,375.96 | ↑ +677% |
| AMERIHEALTH | LOCAL HMO | $11,426.50 | ↑ +680% |
| HORIZON | PPO | $11,479.70 | ↑ +684% |
| QUALCARE | WORKERS COMP | $11,703.12 | ↑ +699% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,969.10 | ↑ +717% |
| AETNA | PPO | $11,969.10 | ↑ +717% |
| AETNA | HMO | $11,969.10 | ↑ +717% |
| CIGNA | PPO | $12,717.83 | ↑ +768% |
| CIGNA | HMO | $12,717.83 | ↑ +768% |
| AMERIHEALTH | REGIONAL HMO | $12,942.59 | ↑ +784% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $3,158.56 | $1,558.24 – $3,100.90 |
| Hackensack University Medical Center | Hackensack | $1,558.24 | $1,246.60 – $1,636.16 |
| Ocean University Medical Center | Brick | $1,446.07 | $1,323.17 – $1,735.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,465.83 | $1,323.17 – $1,465.83 |
| Jersey Shore University Medical Center | Neptune City | $1,464.56 | $1,464.56 – $1,757.48 |
| Palisades Medical Center | North Bergen | $1,558.24 | $1,558.24 – $1,698.49 |
| Raritan Bay Medical Center | Perth Amboy | $1,465.83 | $1,465.83 – $1,759.00 |
| Riverview Medical Center | Red Bank | $1,464.56 | $1,464.56 – $1,757.48 |