X-ray tibia/fibula 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.
$561.00
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 $493.68 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 | ↓ -60% |
| AETNA | HMO | $56.74 | ↓ -42% |
| AETNA | PPO | $56.74 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $57.68 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $58.68 | ↓ -40% |
| CIGNA | PPO | $85.02 | ↓ -13% |
| CIGNA | HMO | $85.02 | ↓ -13% |
| AETNA | MANAGED MEDICAID | $92.00 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $100.98 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $104.91 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | HMO | $278.26 | ↑ +186% |
| HORIZON | MANAGED MEDICAID | $341.59 | ↑ +250% |
| HORIZON | PIP | $361.85 | ↑ +271% |
| HORIZON | WORKERS COMP | $361.85 | ↑ +271% |
| HORIZON | OMNIA | $383.11 | ↑ +293% |
| BERGEN RISK | ALL PRODUCTS | $420.75 | ↑ +332% |
| QUALCARE | PPO | $435.90 | ↑ +347% |
| AETNA | ASA | $439.26 | ↑ +351% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $448.80 | ↑ +360% |
| CIGNA | BH | $448.80 | ↑ +360% |
| HORIZON | SHP | $468.49 | ↑ +381% |
| HORIZON | HMO | $473.09 | ↑ +385% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $476.85 | ↑ +389% |
| HORIZON | INDEMNITY | $479.88 | ↑ +392% |
| HORIZON | PPO | $484.26 | ↑ +397% |
| QUALCARE | WORKERS COMP | $493.68 | ↑ +407% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
X-ray tibia/fibula 2 views (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $224.40 | $81.35 – $81.35 |
| Childrens Specialized Hospital | Mountainside | $304.00 | $16.50 – $655.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $24.53 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $38.52 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $51.58 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $38.52 – $102.33 |
| Palisades Medical Center | North Bergen | $103.69 | $27.06 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $37.13 – $219.04 |