Western blot test at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$17.03
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.
$342.00
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.
$17.03 with WELLCARE vs $171.28 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.03 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $17.03 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $17.03 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $17.03 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17.03 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17.88 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $18.56 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $20.44 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $34.95 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $34.95 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $37.39 | ↑ +120% |
| CIGNA | HMO | $78.04 | ↑ +358% |
| CIGNA | PPO | $78.04 | ↑ +358% |
| QUALCARE | HMO | $87.30 | ↑ +413% |
| HORIZON | MANAGED MEDICAID | $107.17 | ↑ +529% |
| HORIZON | WORKERS COMP | $113.52 | ↑ +567% |
| HORIZON | PIP | $113.52 | ↑ +567% |
| HORIZON | OMNIA | $120.19 | ↑ +606% |
| AETNA | PPO | $121.09 | ↑ +611% |
| AETNA | HMO | $121.09 | ↑ +611% |
| BERGEN RISK | ALL PRODUCTS | $132.00 | ↑ +675% |
| QUALCARE | PPO | $136.75 | ↑ +703% |
| AETNA | ASA | $137.81 | ↑ +709% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $140.80 | ↑ +727% |
| CIGNA | BH | $140.80 | ↑ +727% |
| HORIZON | SHP | $146.98 | ↑ +763% |
| HORIZON | HMO | $148.42 | ↑ +772% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $149.60 | ↑ +778% |
| HORIZON | INDEMNITY | $150.55 | ↑ +784% |
| AMERIHEALTH | LOCAL HMO | $151.22 | ↑ +788% |
| HORIZON | PPO | $151.92 | ↑ +792% |
| QUALCARE | WORKERS COMP | $154.88 | ↑ +809% |
| AMERIHEALTH | REGIONAL HMO | $171.28 | ↑ +906% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Western blot test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $18.73 | $8.00 – $91.91 |
| Cooperman Barnabas Medical Center | Livingston | $18.73 | $8.00 – $69.43 |
| Community Medical Center | Toms River | $18.73 | $8.00 – $69.43 |
| Clara Maass Medical Center | Belleville | $18.73 | $8.00 – $69.43 |
| Newark Beth Israel Medical Center | Newark | $18.73 | $8.00 – $69.43 |
| Jersey City Medical Center | Jersey City | $18.73 | $8.00 – $69.43 |
| Monmouth Medical Center | Long Branch | $18.73 | $8.00 – $69.43 |
| Hackensack University Medical Center | Hackensack | $17.03 | $13.62 – $76.47 |