Buttock fasciotomy w/dbrdmt at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,771.43
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.
$5,035.00
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.
$825.74 with AETNA vs $10,105.00 with UNITED HEALTHCARE — 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 | $825.74 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $906.30 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $941.55 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -9% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| HORIZON | PIP | $3,247.58 | ↑ +83% |
| HORIZON | WORKERS COMP | $3,247.58 | ↑ +83% |
| HORIZON | OMNIA | $3,438.40 | ↑ +94% |
| BERGEN RISK | ALL PRODUCTS | $3,776.25 | ↑ +113% |
| QUALCARE | PPO | $3,912.20 | ↑ +121% |
| AETNA | ASA | $3,942.41 | ↑ +123% |
| CIGNA | BH | $4,028.00 | ↑ +127% |
| HORIZON | SHP | $4,204.73 | ↑ +137% |
| HORIZON | HMO | $4,246.02 | ↑ +140% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,279.75 | ↑ +142% |
| HORIZON | INDEMNITY | $4,306.94 | ↑ +143% |
| AMERIHEALTH | LOCAL HMO | $4,326.07 | ↑ +144% |
| HORIZON | PPO | $4,346.21 | ↑ +145% |
| QUALCARE | WORKERS COMP | $4,430.80 | ↑ +150% |
| CIGNA | PPO | $4,525.96 | ↑ +155% |
| CIGNA | HMO | $4,525.96 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $4,900.06 | ↑ +177% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +360% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +470% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Buttock fasciotomy w/dbrdmt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,884.74 | $1,507.79 – $2,167.37 |
| Ocean University Medical Center | Brick | $1,749.06 | $1,600.41 – $2,100.60 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $1,600.41 – $2,167.37 |
| Jersey Shore University Medical Center | Neptune City | $1,771.43 | $1,771.43 – $2,125.72 |
| Palisades Medical Center | North Bergen | $1,884.74 | $1,884.74 – $2,167.37 |
| Raritan Bay Medical Center | Perth Amboy | $1,772.97 | $1,772.97 – $2,167.37 |
| Riverview Medical Center | Red Bank | $1,771.43 | $1,771.43 – $2,125.72 |
| Southern Ocean Medical Center | Manahawkin | $1,749.06 | $1,749.06 – $2,100.60 |