Bronch w/debrdmt subgltc & uppr trach at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$214.89
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.
$3,299.00
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.
$214.89 with HORIZON BCBS BRAVEN vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $214.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $214.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $214.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $214.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $225.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $234.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $257.86 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $541.04 | ↑ +152% |
| CLOVER | MEDICARE ADVANTAGE | $593.82 | ↑ +176% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $616.91 | ↑ +187% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +453% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +651% |
| HORIZON | PIP | $2,127.86 | ↑ +890% |
| HORIZON | WORKERS COMP | $2,127.86 | ↑ +890% |
| HORIZON | OMNIA | $2,252.89 | ↑ +948% |
| BERGEN RISK | ALL PRODUCTS | $2,474.25 | ↑ +1051% |
| QUALCARE | PPO | $2,563.32 | ↑ +1093% |
| AETNA | ASA | $2,583.12 | ↑ +1102% |
| CIGNA | BH | $2,639.20 | ↑ +1128% |
| HORIZON | SHP | $2,754.99 | ↑ +1182% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +1188% |
| HORIZON | HMO | $2,782.05 | ↑ +1195% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,804.15 | ↑ +1205% |
| HORIZON | INDEMNITY | $2,821.96 | ↑ +1213% |
| AMERIHEALTH | LOCAL HMO | $2,834.50 | ↑ +1219% |
| HORIZON | PPO | $2,847.70 | ↑ +1225% |
| QUALCARE | WORKERS COMP | $2,903.12 | ↑ +1251% |
| CIGNA | PPO | $2,965.47 | ↑ +1280% |
| CIGNA | HMO | $2,965.47 | ↑ +1280% |
| AMERIHEALTH | REGIONAL HMO | $3,210.59 | ↑ +1394% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +1452% |
| QUALCARE | HMO | $6,256.00 | ↑ +2811% |
| AETNA | HMO | $8,419.00 | ↑ +3818% |
| AETNA | PPO | $8,419.00 | ↑ +3818% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4522% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bronch w/debrdmt subgltc & uppr trach at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $228.63 | $182.90 – $240.06 |
| Ocean University Medical Center | Brick | $212.17 | $194.14 – $254.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $215.07 | $194.14 – $215.07 |
| Jersey Shore University Medical Center | Neptune City | $214.89 | $214.89 – $257.86 |
| Palisades Medical Center | North Bergen | $228.63 | $228.63 – $249.21 |
| Raritan Bay Medical Center | Perth Amboy | $215.07 | $215.07 – $258.09 |
| Riverview Medical Center | Red Bank | $214.89 | $214.89 – $257.86 |
| Southern Ocean Medical Center | Manahawkin | $212.17 | $212.17 – $254.61 |