Biopsy of prostate at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,267.41
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.
$6,930.00
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.
$1,136.52 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 | $1,136.52 | ↓ -50% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -50% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $1,247.40 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,295.91 | ↓ -43% |
| VACCN | ALL PRODUCTS | $2,267.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,267.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,380.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,471.48 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,720.90 | ↑ +20% |
| CIGNA | HMO | $3,135.00 | ↑ +38% |
| CIGNA | PPO | $3,508.00 | ↑ +55% |
| HORIZON | PIP | $4,469.85 | ↑ +97% |
| HORIZON | WORKERS COMP | $4,469.85 | ↑ +97% |
| HORIZON | OMNIA | $4,732.50 | ↑ +109% |
| BERGEN RISK | ALL PRODUCTS | $5,197.50 | ↑ +129% |
| QUALCARE | PPO | $5,384.61 | ↑ +137% |
| AETNA | ASA | $5,426.19 | ↑ +139% |
| CIGNA | BH | $5,544.00 | ↑ +145% |
| HORIZON | SHP | $5,787.24 | ↑ +155% |
| HORIZON | HMO | $5,844.07 | ↑ +158% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,890.50 | ↑ +160% |
| HORIZON | INDEMNITY | $5,927.92 | ↑ +161% |
| AMERIHEALTH | LOCAL HMO | $5,954.26 | ↑ +163% |
| HORIZON | PPO | $5,981.98 | ↑ +164% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +169% |
| QUALCARE | WORKERS COMP | $6,098.40 | ↑ +169% |
| QUALCARE | HMO | $6,256.00 | ↑ +176% |
| AMERIHEALTH | REGIONAL HMO | $6,744.28 | ↑ +197% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +232% |
| AETNA | PPO | $8,419.00 | ↑ +271% |
| AETNA | HMO | $8,419.00 | ↑ +271% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +338% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of prostate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $2,412.45 | $271.50 – $2,533.07 |
| Ocean University Medical Center | Brick | $2,238.78 | $264.23 – $2,686.53 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,269.38 | $84.00 – $2,269.38 |
| Jersey Shore University Medical Center | Neptune City | $2,267.41 | $264.23 – $2,720.90 |
| Palisades Medical Center | North Bergen | $2,412.45 | $271.50 – $2,629.57 |
| Raritan Bay Medical Center | Perth Amboy | $2,269.38 | $271.50 – $2,723.26 |
| Riverview Medical Center | Red Bank | $2,267.41 | $264.23 – $2,720.90 |
| Southern Ocean Medical Center | Manahawkin | $2,238.78 | $264.23 – $2,686.53 |