X-ray exam of femur 1 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$337.00
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.
$35.88 with UNITED HEALTHCARE vs $296.56 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 | $35.88 | ↓ -63% |
| AETNA | HMO | $54.74 | ↓ -44% |
| AETNA | PPO | $54.74 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $55.27 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $60.66 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $63.02 | ↓ -35% |
| AMERIHEALTH | LOCAL HMO | $63.65 | ↓ -35% |
| AMERIHEALTH | REGIONAL HMO | $64.75 | ↓ -34% |
| CIGNA | HMO | $76.36 | ↓ -22% |
| CIGNA | PPO | $76.36 | ↓ -22% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| QUALCARE | HMO | $167.15 | ↑ +72% |
| HORIZON | MANAGED MEDICAID | $205.20 | ↑ +111% |
| HORIZON | PIP | $217.37 | ↑ +123% |
| HORIZON | WORKERS COMP | $217.37 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| HORIZON | OMNIA | $230.14 | ↑ +136% |
| BERGEN RISK | ALL PRODUCTS | $252.75 | ↑ +159% |
| QUALCARE | PPO | $261.85 | ↑ +169% |
| AETNA | ASA | $263.87 | ↑ +171% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $269.60 | ↑ +177% |
| CIGNA | BH | $269.60 | ↑ +177% |
| HORIZON | SHP | $281.43 | ↑ +189% |
| HORIZON | HMO | $284.19 | ↑ +192% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $286.45 | ↑ +194% |
| HORIZON | INDEMNITY | $288.27 | ↑ +196% |
| HORIZON | PPO | $290.90 | ↑ +198% |
| QUALCARE | WORKERS COMP | $296.56 | ↑ +204% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of femur 1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $233.00 | $15.41 – $655.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.91 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $35.88 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $56.71 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $35.88 – $102.33 |
| Palisades Medical Center | North Bergen | $103.69 | $25.27 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $34.67 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $21.57 – $219.04 |