Ablation cryo retro lymph node at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$483.90
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.
$2,373.00
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.
$389.17 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $389.17 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $427.14 | ↓ -12% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $443.75 | ↓ -8% |
| VACCN | ALL PRODUCTS | $483.90 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $483.90 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $483.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $483.90 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $508.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $527.45 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $580.68 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +146% |
| HORIZON | PIP | $1,530.59 | ↑ +216% |
| HORIZON | WORKERS COMP | $1,530.59 | ↑ +216% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +233% |
| HORIZON | OMNIA | $1,620.52 | ↑ +235% |
| BERGEN RISK | ALL PRODUCTS | $1,779.75 | ↑ +268% |
| QUALCARE | PPO | $1,843.82 | ↑ +281% |
| AETNA | ASA | $1,858.06 | ↑ +284% |
| CIGNA | BH | $1,898.40 | ↑ +292% |
| HORIZON | SHP | $1,981.69 | ↑ +310% |
| HORIZON | HMO | $2,001.15 | ↑ +314% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,017.05 | ↑ +317% |
| HORIZON | INDEMNITY | $2,029.86 | ↑ +319% |
| AMERIHEALTH | LOCAL HMO | $2,038.88 | ↑ +321% |
| HORIZON | PPO | $2,048.37 | ↑ +323% |
| QUALCARE | WORKERS COMP | $2,088.24 | ↑ +332% |
| CIGNA | HMO | $2,133.09 | ↑ +341% |
| CIGNA | PPO | $2,133.09 | ↑ +341% |
| AMERIHEALTH | REGIONAL HMO | $2,309.40 | ↑ +377% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +472% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +589% |
| QUALCARE | HMO | $6,256.00 | ↑ +1193% |
| AETNA | HMO | $8,419.00 | ↑ +1640% |
| AETNA | PPO | $8,419.00 | ↑ +1640% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1953% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ablation cryo retro lymph node at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $514.85 | $411.88 – $540.59 |
| Ocean University Medical Center | Brick | $477.79 | $437.18 – $573.34 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $484.32 | $437.18 – $484.32 |
| Jersey Shore University Medical Center | Neptune City | $483.90 | $483.90 – $580.68 |
| Palisades Medical Center | North Bergen | $514.85 | $514.85 – $561.19 |
| Raritan Bay Medical Center | Perth Amboy | $484.32 | $484.32 – $581.18 |
| Riverview Medical Center | Red Bank | $483.90 | $483.90 – $580.68 |
| Southern Ocean Medical Center | Manahawkin | $477.79 | $477.79 – $573.34 |