Vein x-ray liver at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,483.84
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.
$6,794.00
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.
$251.33 with AETNA vs $7,747.94 with OXFORD — 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 | HMO | $251.33 | ↓ -93% |
| AETNA | PPO | $251.33 | ↓ -93% |
| CIGNA | PPO | $283.83 | ↓ -92% |
| CIGNA | HMO | $283.83 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $1,114.22 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $1,222.92 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,270.48 | ↓ -64% |
| QUALCARE | HMO | $3,369.82 | ↓ -3% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $4,136.87 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| HORIZON | PIP | $4,382.13 | ↑ +26% |
| HORIZON | WORKERS COMP | $4,382.13 | ↑ +26% |
| HORIZON | OMNIA | $4,639.62 | ↑ +33% |
| BERGEN RISK | ALL PRODUCTS | $5,095.50 | ↑ +46% |
| QUALCARE | PPO | $5,278.94 | ↑ +52% |
| AETNA | ASA | $5,319.70 | ↑ +53% |
| CIGNA | BH | $5,435.20 | ↑ +56% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,435.20 | ↑ +56% |
| HORIZON | SHP | $5,673.67 | ↑ +63% |
| HORIZON | HMO | $5,729.38 | ↑ +64% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,774.90 | ↑ +66% |
| HORIZON | INDEMNITY | $5,811.59 | ↑ +67% |
| AMERIHEALTH | LOCAL HMO | $5,837.40 | ↑ +68% |
| HORIZON | PPO | $5,864.58 | ↑ +68% |
| QUALCARE | WORKERS COMP | $5,978.72 | ↑ +72% |
| AMERIHEALTH | REGIONAL HMO | $6,611.92 | ↑ +90% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $7,747.94 | ↑ +122% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray liver at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,347.49 | $64.07 – $6,879.68 |
| Community Medical Center | Toms River | $1,488.92 | $186.35 – $6,845.28 |
| Newark Beth Israel Medical Center | Newark | $1,488.09 | $65.95 – $7,062.48 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $236.87 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $226.43 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $236.87 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $226.43 – $3,658.03 |
| Palisades Medical Center | North Bergen | $3,706.68 | $236.87 – $7,747.94 |