Axillary lymphadenect/superficial 38740 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$6,457.82
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.
?
What you pay up front if you don't use insurance.
$10,534.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,141.00 with HORIZON vs $22,999.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $1,727.58 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $1,896.12 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,969.86 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -63% |
| CIGNA | HMO | $3,135.00 | ↓ -51% |
| CIGNA | PPO | $3,508.00 | ↓ -46% |
| QUALCARE | HMO | $6,256.00 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,457.82 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,457.82 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,457.82 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,457.82 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,780.71 | ↑ +5% |
| HORIZON | PIP | $6,794.43 | ↑ +5% |
| HORIZON | WORKERS COMP | $6,794.43 | ↑ +5% |
| HORIZON | OMNIA | $6,984.00 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $7,039.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $7,749.38 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $7,900.50 | ↑ +22% |
| HORIZON | SHP | $8,004.00 | ↑ +24% |
| QUALCARE | PPO | $8,184.92 | ↑ +27% |
| AETNA | ASA | $8,248.12 | ↑ +28% |
| AETNA | HMO | $8,419.00 | ↑ +30% |
| AETNA | PPO | $8,419.00 | ↑ +30% |
| CIGNA | BH | $8,427.20 | ↑ +30% |
| HORIZON | HMO | $8,627.00 | ↑ +34% |
| HORIZON | INDEMNITY | $8,748.00 | ↑ +35% |
| HORIZON | PPO | $8,830.00 | ↑ +37% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,953.90 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $9,050.81 | ↑ +40% |
| QUALCARE | WORKERS COMP | $9,269.92 | ↑ +44% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +54% |
| AMERIHEALTH | REGIONAL HMO | $10,251.69 | ↑ +59% |
| OXFORD | ALL PRODUCTS | $18,384.00 | ↑ +185% |
| UNITED HEALTHCARE | HMO | $22,999.00 | ↑ +256% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Axillary lymphadenect/superficial 38740 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $6,870.89 | $1,503.43 – $7,214.44 |
| Ocean University Medical Center | Brick | $6,376.26 | $1,461.37 – $7,651.51 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,463.42 | $418.30 – $6,463.42 |
| Jersey Shore University Medical Center | Neptune City | $6,457.82 | $1,461.37 – $7,749.38 |
| Palisades Medical Center | North Bergen | $6,870.89 | $1,503.43 – $7,489.27 |
| Raritan Bay Medical Center | Perth Amboy | $6,463.42 | $1,503.43 – $7,756.10 |
| Riverview Medical Center | Red Bank | $6,457.82 | $1,461.37 – $7,749.38 |
| Southern Ocean Medical Center | Manahawkin | $6,376.26 | $1,461.37 – $7,651.51 |