healthcosts.net
Upper Back (Thoracic Spine) MRI (with contrast) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$395.29
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.
?
What you pay up front if you don't use insurance.
$4,835.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$395.29 with HORIZON BCBS BRAVEN vs $5,610.00 with QUALCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| CIGNA | PPO | $615.97 | ↑ +56% |
| CIGNA | HMO | $615.97 | ↑ +56% |
| AETNA | PPO | $655.35 | ↑ +66% |
| AETNA | HMO | $655.35 | ↑ +66% |
| AETNA | MANAGED MEDICAID | $792.94 | ↑ +101% |
| CLOVER | MEDICARE ADVANTAGE | $870.30 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +127% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $904.15 | ↑ +129% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +141% |
| AMERIHEALTH | LOCAL HMO | $1,094.00 | ↑ +177% |
| AMERIHEALTH | REGIONAL HMO | $1,112.92 | ↑ +182% |
| QUALCARE | HMO | $2,083.00 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +446% |
| HORIZON | MANAGED MEDICAID | $2,944.03 | ↑ +645% |
| HORIZON | PIP | $3,118.58 | ↑ +689% |
| HORIZON | WORKERS COMP | $3,118.58 | ↑ +689% |
| HORIZON | OMNIA | $3,301.82 | ↑ +735% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,336.15 | ↑ +744% |
| AETNA | ASA | $3,785.81 | ↑ +858% |
| CIGNA | BH | $3,868.00 | ↑ +879% |
| HORIZON | SHP | $4,037.71 | ↑ +921% |
| HORIZON | HMO | $4,077.36 | ↑ +931% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,109.75 | ↑ +940% |
| HORIZON | INDEMNITY | $4,135.86 | ↑ +946% |
| HORIZON | PPO | $4,173.57 | ↑ +956% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +996% |
| QUALCARE | PPO | $5,610.00 | ↑ +1319% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $420.58 | $336.46 – $4,332.00 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $4,332.00 |