Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$326.73
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.
$1,368.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $224.35 | ↓ -31% |
| CLOVER | MEDICARE ADVANTAGE | $246.24 | ↓ -25% |
| AETNA | MEDICARE ADVANTAGE | $247.61 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $255.82 | ↓ -22% |
| WELLCARE | MEDICARE ADVANTAGE | $326.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $326.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $326.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $326.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $343.07 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $392.08 | ↑ +20% |
| HORIZON | PIP | $882.36 | ↑ +170% |
| HORIZON | WORKERS COMP | $882.36 | ↑ +170% |
| HORIZON | OMNIA | $934.21 | ↑ +186% |
| BERGEN RISK | ALL PRODUCTS | $1,026.00 | ↑ +214% |
| QUALCARE | PPO | $1,062.94 | ↑ +225% |
| AETNA | ASA | $1,071.14 | ↑ +228% |
| CIGNA | BH | $1,094.40 | ↑ +235% |
| HORIZON | SHP | $1,142.42 | ↑ +250% |
| HORIZON | HMO | $1,153.63 | ↑ +253% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,162.80 | ↑ +256% |
| HORIZON | INDEMNITY | $1,170.19 | ↑ +258% |
| AMERIHEALTH | LOCAL HMO | $1,175.39 | ↑ +260% |
| HORIZON | PPO | $1,180.86 | ↑ +261% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +264% |
| QUALCARE | WORKERS COMP | $1,203.84 | ↑ +268% |
| AMERIHEALTH | REGIONAL HMO | $1,331.34 | ↑ +307% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +394% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +747% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +921% |
| QUALCARE | HMO | $6,256.00 | ↑ +1815% |
| AETNA | PPO | $8,419.00 | ↑ +2477% |
| AETNA | HMO | $8,419.00 | ↑ +2477% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2940% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $347.63 | $123.99 – $365.02 |
| Ocean University Medical Center | Brick | $322.61 | $120.62 – $512.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $327.02 | $104.58 – $512.28 |
| Jersey Shore University Medical Center | Neptune City | $326.73 | $120.62 – $392.08 |
| Palisades Medical Center | North Bergen | $347.63 | $103.01 – $378.92 |
| Raritan Bay Medical Center | Perth Amboy | $327.02 | $123.99 – $606.70 |
| Riverview Medical Center | Red Bank | $326.73 | $120.62 – $392.08 |
| Southern Ocean Medical Center | Manahawkin | $322.61 | $120.62 – $387.13 |