Biopsy of prostate at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,817.53
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.
$4,871.00
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.
$798.84 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 | $798.84 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $876.78 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $910.88 | ↓ -76% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -69% |
| CIGNA | HMO | $3,135.00 | ↓ -18% |
| HORIZON | PIP | $3,141.80 | ↓ -18% |
| HORIZON | WORKERS COMP | $3,141.80 | ↓ -18% |
| HORIZON | OMNIA | $3,326.41 | ↓ -13% |
| CIGNA | PPO | $3,508.00 | ↓ -8% |
| BERGEN RISK | ALL PRODUCTS | $3,653.25 | ↓ -4% |
| QUALCARE | PPO | $3,784.77 | ↓ -1% |
| AETNA | ASA | $3,813.99 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,817.53 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,817.53 | ↑ +0% |
| CIGNA | BH | $3,896.80 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,008.40 | ↑ +5% |
| HORIZON | SHP | $4,067.77 | ↑ +7% |
| HORIZON | HMO | $4,107.71 | ↑ +8% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,140.35 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $4,161.10 | ↑ +9% |
| HORIZON | INDEMNITY | $4,166.65 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $4,185.16 | ↑ +10% |
| HORIZON | PPO | $4,204.65 | ↑ +10% |
| QUALCARE | WORKERS COMP | $4,286.48 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $4,581.03 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $4,740.46 | ↑ +24% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +60% |
| QUALCARE | HMO | $6,256.00 | ↑ +64% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +97% |
| AETNA | PPO | $8,419.00 | ↑ +121% |
| AETNA | HMO | $8,419.00 | ↑ +121% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +160% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | 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 | $4,061.71 | $561.38 – $4,264.80 |
| Ocean University Medical Center | Brick | $3,769.31 | $544.47 – $4,523.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,820.84 | $236.22 – $3,820.84 |
| Jersey Shore University Medical Center | Neptune City | $3,817.53 | $544.47 – $4,581.03 |
| Palisades Medical Center | North Bergen | $4,061.71 | $561.38 – $4,427.27 |
| Raritan Bay Medical Center | Perth Amboy | $3,820.84 | $561.38 – $4,585.01 |
| Riverview Medical Center | Red Bank | $3,817.53 | $544.47 – $4,581.03 |
| Southern Ocean Medical Center | Manahawkin | $3,769.31 | $544.47 – $4,523.17 |