X-ray scapula complete (both sides) 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.
$461.00
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.
$38.52 with UNITED HEALTHCARE vs $405.68 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 | $38.52 | ↓ -67% |
| CIGNA | PPO | $52.91 | ↓ -55% |
| CIGNA | HMO | $52.91 | ↓ -55% |
| AETNA | HMO | $58.74 | ↓ -50% |
| AETNA | PPO | $58.74 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $59.67 | ↓ -49% |
| AMERIHEALTH | REGIONAL HMO | $60.70 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $75.60 | ↓ -36% |
| CLOVER | MEDICARE ADVANTAGE | $82.98 | ↓ -29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $86.21 | ↓ -27% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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 | $228.66 | ↑ +94% |
| HORIZON | MANAGED MEDICAID | $280.70 | ↑ +138% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | PIP | $297.35 | ↑ +153% |
| HORIZON | WORKERS COMP | $297.35 | ↑ +153% |
| HORIZON | OMNIA | $314.82 | ↑ +167% |
| BERGEN RISK | ALL PRODUCTS | $345.75 | ↑ +194% |
| QUALCARE | PPO | $358.20 | ↑ +204% |
| AETNA | ASA | $360.96 | ↑ +207% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $368.80 | ↑ +213% |
| CIGNA | BH | $368.80 | ↑ +213% |
| HORIZON | SHP | $384.98 | ↑ +227% |
| HORIZON | HMO | $388.76 | ↑ +230% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $391.85 | ↑ +233% |
| HORIZON | INDEMNITY | $394.34 | ↑ +235% |
| HORIZON | PPO | $397.94 | ↑ +238% |
| QUALCARE | WORKERS COMP | $405.68 | ↑ +245% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
X-ray scapula complete (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $167.00 | $15.00 – $655.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $22.30 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $38.52 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $46.13 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $38.52 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $24.60 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $33.75 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $21.00 – $295.04 |