Urography, antegrade 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.
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What you pay up front if you don't use insurance.
$1,367.00
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.
$98.19 with UNITED HEALTHCARE vs $1,330.36 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 | $98.19 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $224.19 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $246.06 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $255.63 | ↓ -35% |
| AETNA | HMO | $298.09 | ↓ -25% |
| AETNA | PPO | $298.09 | ↓ -25% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| CIGNA | PPO | $414.73 | ↑ +5% |
| CIGNA | HMO | $414.73 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| QUALCARE | HMO | $678.03 | ↑ +72% |
| HORIZON | MANAGED MEDICAID | $832.37 | ↑ +111% |
| HORIZON | WORKERS COMP | $881.72 | ↑ +123% |
| HORIZON | PIP | $881.72 | ↑ +123% |
| HORIZON | OMNIA | $933.52 | ↑ +136% |
| UNITED HEALTHCARE | HMO | $996.68 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $996.68 | ↑ +152% |
| BERGEN RISK | ALL PRODUCTS | $1,025.25 | ↑ +159% |
| QUALCARE | PPO | $1,062.16 | ↑ +169% |
| AETNA | ASA | $1,070.36 | ↑ +171% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,093.60 | ↑ +177% |
| CIGNA | BH | $1,093.60 | ↑ +177% |
| HORIZON | SHP | $1,141.58 | ↑ +189% |
| HORIZON | HMO | $1,152.79 | ↑ +192% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,161.95 | ↑ +194% |
| HORIZON | INDEMNITY | $1,169.33 | ↑ +196% |
| AMERIHEALTH | LOCAL HMO | $1,174.53 | ↑ +197% |
| HORIZON | PPO | $1,179.99 | ↑ +199% |
| QUALCARE | WORKERS COMP | $1,202.96 | ↑ +204% |
| AMERIHEALTH | REGIONAL HMO | $1,330.36 | ↑ +237% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Urography, antegrade at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $251.70 | $44.34 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $272.29 | $45.92 – $801.34 |
| Community Medical Center | Toms River | $278.12 | $45.92 – $776.70 |
| Clara Maass Medical Center | Belleville | $337.93 | $45.92 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $267.66 | $45.92 – $801.34 |
| Monmouth Medical Center | Long Branch | $293.41 | $45.92 – $786.63 |
| Hackensack University Medical Center | Hackensack | $420.58 | $41.63 – $1,138.41 |
| Ocean University Medical Center | Brick | $390.30 | $98.19 – $414.73 |