X-ray lower extremities infant > 2 views (both sides) 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.
$358.00
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 $315.04 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 | ↓ -63% |
| AMERIHEALTH | LOCAL HMO | $51.72 | ↓ -47% |
| AMERIHEALTH | REGIONAL HMO | $52.61 | ↓ -46% |
| AETNA | HMO | $54.74 | ↓ -44% |
| AETNA | PPO | $54.74 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $58.71 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $64.44 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $66.95 | ↓ -31% |
| CIGNA | HMO | $85.02 | ↓ -13% |
| CIGNA | PPO | $85.02 | ↓ -13% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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 | $177.57 | ↑ +82% |
| HORIZON | MANAGED MEDICAID | $217.99 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| HORIZON | PIP | $230.91 | ↑ +137% |
| HORIZON | WORKERS COMP | $230.91 | ↑ +137% |
| HORIZON | OMNIA | $244.48 | ↑ +151% |
| BERGEN RISK | ALL PRODUCTS | $268.50 | ↑ +175% |
| QUALCARE | PPO | $278.17 | ↑ +185% |
| AETNA | ASA | $280.31 | ↑ +188% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $286.40 | ↑ +194% |
| CIGNA | BH | $286.40 | ↑ +194% |
| HORIZON | SHP | $298.97 | ↑ +207% |
| HORIZON | HMO | $301.90 | ↑ +210% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $304.30 | ↑ +212% |
| HORIZON | INDEMNITY | $306.23 | ↑ +214% |
| HORIZON | PPO | $309.03 | ↑ +217% |
| QUALCARE | WORKERS COMP | $315.04 | ↑ +223% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
X-ray lower extremities infant > 2 views (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $202.00 | $20.00 – $655.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $29.73 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $36.37 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $46.25 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $36.37 – $102.33 |
| Palisades Medical Center | North Bergen | $103.69 | $32.80 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $36.37 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $28.00 – $219.04 |