Bronchial valve remov init at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,080.94
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.
$7,106.00
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.
$1,165.38 with AETNA vs $13,844.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,165.38 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,279.08 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,328.82 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -60% |
| VACCN | ALL PRODUCTS | $4,080.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,080.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,284.98 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,448.22 | ↑ +9% |
| HORIZON | PIP | $4,583.37 | ↑ +12% |
| HORIZON | WORKERS COMP | $4,583.37 | ↑ +12% |
| HORIZON | OMNIA | $4,852.69 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,897.13 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $5,329.50 | ↑ +31% |
| QUALCARE | PPO | $5,521.36 | ↑ +35% |
| AETNA | ASA | $5,564.00 | ↑ +36% |
| CIGNA | BH | $5,684.80 | ↑ +39% |
| HORIZON | SHP | $5,934.22 | ↑ +45% |
| HORIZON | HMO | $5,992.49 | ↑ +47% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,040.10 | ↑ +48% |
| HORIZON | INDEMNITY | $6,078.47 | ↑ +49% |
| AMERIHEALTH | LOCAL HMO | $6,105.48 | ↑ +50% |
| HORIZON | PPO | $6,133.90 | ↑ +50% |
| QUALCARE | WORKERS COMP | $6,253.28 | ↑ +53% |
| QUALCARE | HMO | $6,256.00 | ↑ +53% |
| CIGNA | HMO | $6,724.00 | ↑ +65% |
| AMERIHEALTH | REGIONAL HMO | $6,915.56 | ↑ +69% |
| CIGNA | PPO | $7,532.00 | ↑ +85% |
| AETNA | PPO | $8,419.00 | ↑ +106% |
| AETNA | HMO | $8,419.00 | ↑ +106% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +143% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +172% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +239% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bronchial valve remov init at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $4,341.97 | $407.38 – $4,559.07 |
| Ocean University Medical Center | Brick | $4,029.39 | $396.43 – $4,835.27 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,084.48 | $199.46 – $4,084.48 |
| Jersey Shore University Medical Center | Neptune City | $4,080.94 | $396.43 – $4,897.13 |
| Palisades Medical Center | North Bergen | $4,341.97 | $407.38 – $4,732.75 |
| Raritan Bay Medical Center | Perth Amboy | $4,084.48 | $407.38 – $4,901.37 |
| Riverview Medical Center | Red Bank | $4,080.94 | $396.43 – $4,897.13 |
| Southern Ocean Medical Center | Manahawkin | $4,029.39 | $396.43 – $4,835.27 |