Vein x-ray skull 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.
$3,823.00
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.
$257.31 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 | PPO | $257.31 | ↓ -93% |
| AETNA | HMO | $257.31 | ↓ -93% |
| CIGNA | HMO | $404.83 | ↓ -88% |
| CIGNA | PPO | $404.83 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $626.97 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $688.14 | ↓ -80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $714.90 | ↓ -79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| QUALCARE | HMO | $1,896.21 | ↓ -46% |
| HORIZON | MANAGED MEDICAID | $2,327.82 | ↓ -33% |
| HORIZON | WORKERS COMP | $2,465.84 | ↓ -29% |
| HORIZON | PIP | $2,465.84 | ↓ -29% |
| HORIZON | OMNIA | $2,610.73 | ↓ -25% |
| BERGEN RISK | ALL PRODUCTS | $2,867.25 | ↓ -18% |
| QUALCARE | PPO | $2,970.47 | ↓ -15% |
| AETNA | ASA | $2,993.41 | ↓ -14% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,058.40 | ↓ -12% |
| CIGNA | BH | $3,058.40 | ↓ -12% |
| HORIZON | SHP | $3,192.59 | ↓ -8% |
| HORIZON | HMO | $3,223.94 | ↓ -7% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,249.55 | ↓ -7% |
| HORIZON | INDEMNITY | $3,270.19 | ↓ -6% |
| AMERIHEALTH | LOCAL HMO | $3,284.72 | ↓ -6% |
| HORIZON | PPO | $3,300.01 | ↓ -5% |
| QUALCARE | WORKERS COMP | $3,364.24 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AMERIHEALTH | REGIONAL HMO | $3,720.54 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $7,747.94 | ↑ +122% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray skull at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $883.69 | $80.50 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $997.62 | $267.89 – $7,062.48 |
| Community Medical Center | Toms River | $976.43 | $267.56 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $936.42 | $267.89 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $980.67 | $82.87 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $978.32 | $104.17 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $1,030.11 | $267.89 – $6,932.84 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $242.85 – $8,849.68 |