Yttrium y-90 ibritumomab ther at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$56,824.55
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.
$129,984.00
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.
$21,317.38 with AETNA vs $129,984.00 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $21,317.38 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $23,397.12 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24,307.01 | ↓ -57% |
| AMERIHEALTH | LOCAL HMO | $52,292.56 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $56,824.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $56,824.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $56,824.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $56,824.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $59,665.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $61,938.76 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $68,189.46 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $76,560.58 | ↑ +35% |
| HORIZON | MANAGED MEDICAID | $79,147.26 | ↑ +39% |
| HORIZON | PIP | $83,839.68 | ↑ +48% |
| HORIZON | WORKERS COMP | $83,839.68 | ↑ +48% |
| HORIZON | OMNIA | $88,766.07 | ↑ +56% |
| BERGEN RISK | ALL PRODUCTS | $97,488.00 | ↑ +72% |
| QUALCARE | HMO | $100,997.57 | ↑ +78% |
| QUALCARE | PPO | $100,997.57 | ↑ +78% |
| AETNA | ASA | $101,777.47 | ↑ +79% |
| CIGNA | BH | $103,987.20 | ↑ +83% |
| HORIZON | SHP | $108,549.64 | ↑ +91% |
| HORIZON | HMO | $109,615.51 | ↑ +93% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $110,486.40 | ↑ +94% |
| HORIZON | INDEMNITY | $111,188.31 | ↑ +96% |
| HORIZON | PPO | $112,202.19 | ↑ +97% |
| QUALCARE | WORKERS COMP | $114,385.92 | ↑ +101% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $116,985.60 | ↑ +106% |
| AETNA | PPO | $116,985.60 | ↑ +106% |
| AETNA | HMO | $116,985.60 | ↑ +106% |
| CIGNA | HMO | $124,303.70 | ↑ +119% |
| CIGNA | PPO | $124,303.70 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $128,407.29 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $128,407.29 | ↑ +126% |
| AMERIHEALTH | REGIONAL HMO | $129,984.00 | ↑ +129% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Yttrium y-90 ibritumomab ther at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $13,066.20 | $50,573.85 – $123,583.80 |
| Hackensack University Medical Center | Hackensack | $56,824.55 | $45,459.64 – $65,476.58 |
| Ocean University Medical Center | Brick | $56,824.55 | $56,824.55 – $68,189.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $56,824.55 | $56,824.55 – $60,579.46 |
| Jersey Shore University Medical Center | Neptune City | $56,824.55 | $56,824.55 – $132,443.38 |
| Palisades Medical Center | North Bergen | $14,774.74 | $56,824.55 – $128,407.29 |
| Raritan Bay Medical Center | Perth Amboy | $56,824.55 | $56,824.55 – $128,407.29 |
| Riverview Medical Center | Red Bank | $56,824.55 | $56,824.55 – $128,407.29 |