X-ray exam of arm infant at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
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.
$398.00
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.
$36.37 with UNITED HEALTHCARE vs $350.24 with QUALCARE — 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 | $36.37 | ↓ -69% |
| AMERIHEALTH | LOCAL HMO | $51.72 | ↓ -56% |
| AMERIHEALTH | REGIONAL HMO | $52.61 | ↓ -55% |
| AETNA | HMO | $54.74 | ↓ -53% |
| AETNA | PPO | $54.74 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $65.27 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $71.64 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $74.43 | ↓ -37% |
| CIGNA | PPO | $85.02 | ↓ -28% |
| CIGNA | HMO | $85.02 | ↓ -28% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| QUALCARE | HMO | $197.41 | ↑ +68% |
| HORIZON | MANAGED MEDICAID | $242.34 | ↑ +106% |
| HORIZON | PIP | $256.71 | ↑ +118% |
| HORIZON | WORKERS COMP | $256.71 | ↑ +118% |
| HORIZON | OMNIA | $271.79 | ↑ +131% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| BERGEN RISK | ALL PRODUCTS | $298.50 | ↑ +154% |
| QUALCARE | PPO | $309.25 | ↑ +163% |
| AETNA | ASA | $311.63 | ↑ +165% |
| CIGNA | BH | $318.40 | ↑ +171% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $318.40 | ↑ +171% |
| HORIZON | SHP | $332.37 | ↑ +182% |
| HORIZON | HMO | $335.63 | ↑ +185% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $338.30 | ↑ +187% |
| HORIZON | INDEMNITY | $340.45 | ↑ +189% |
| HORIZON | PPO | $343.55 | ↑ +192% |
| QUALCARE | WORKERS COMP | $350.24 | ↑ +198% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $205.00 | $20.00 – $655.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $29.73 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $36.37 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $46.25 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $36.37 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $32.80 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $36.37 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $28.00 – $295.04 |