Binder abdominal lg 12 x 62-74 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$727.36
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.
$0.37 with CLOVER vs $374.59 with QUALCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $0.37 | — |
| WELLCARE | MEDICARE ADVANTAGE | $22.97 | — |
| AETNA | MEDICARE ADVANTAGE | $36.74 | — |
| WELLCARE | MANAGED MEDICAID | $51.24 | — |
| AMERIGROUP | MANAGED MEDICAID | $53.22 | — |
| AMERIHEALTH | LOCAL HMO | $59.05 | — |
| AMERIHEALTH | REGIONAL HMO | $64.59 | — |
| AETNA | MANAGED MEDICAID | $99.47 | — |
| CIGNA | PPO | $100.49 | — |
| CIGNA | HMO | $100.49 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $101.50 | — |
| QUALCARE | WORKERS COMP | $104.55 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $107.59 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $119.57 | — |
| BERGEN RISK | ALL PRODUCTS | $121.80 | — |
| HORIZON | PIP | $130.94 | — |
| HORIZON | WORKERS COMP | $130.94 | — |
| HORIZON | OMNIA | $138.63 | — |
| AETNA | ASA | $158.95 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $159.66 | — |
| CIGNA | BH | $162.40 | — |
| HORIZON | SHP | $169.53 | — |
| HORIZON | HMO | $171.19 | — |
| HORIZON | INDEMNITY | $173.65 | — |
| HORIZON | PPO | $175.23 | — |
| HORIZON | MANAGED MEDICAID | $325.57 | — |
| QUALCARE | HMO | $340.40 | — |
| QUALCARE | PPO | $374.59 | — |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Binder abdominal lg 12 x 62-74 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $10.81 | $28.64 – $72.75 |
| Cooperman Barnabas Medical Center | Livingston | $8.71 | $28.73 – $73.12 |
| Community Medical Center | Toms River | $8.53 | $29.43 – $72.75 |
| Clara Maass Medical Center | Belleville | $8.18 | $28.39 – $72.75 |
| Newark Beth Israel Medical Center | Newark | $8.57 | $29.48 – $72.75 |
| Jersey City Medical Center | Jersey City | $8.55 | $31.16 – $72.75 |
| Monmouth Medical Center | Long Branch | $9.00 | $36.56 – $72.75 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $9.44 | $27.35 – $72.75 |