Bx vulva or perineum/1 lesion 56605 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$963.79
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.
$1,551.00
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.
$254.36 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $254.36 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $279.18 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $290.04 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↓ -10% |
| VACCN | ALL PRODUCTS | $963.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $963.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $963.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $963.79 | ↑ +0% |
| HORIZON | PIP | $1,000.40 | ↑ +4% |
| HORIZON | WORKERS COMP | $1,000.40 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,011.98 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,050.53 | ↑ +9% |
| HORIZON | OMNIA | $1,059.18 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $1,156.54 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $1,163.25 | ↑ +21% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +23% |
| QUALCARE | PPO | $1,205.13 | ↑ +25% |
| AETNA | ASA | $1,214.43 | ↑ +26% |
| CIGNA | BH | $1,240.80 | ↑ +29% |
| HORIZON | SHP | $1,295.24 | ↑ +34% |
| HORIZON | HMO | $1,307.96 | ↑ +36% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,318.35 | ↑ +37% |
| HORIZON | INDEMNITY | $1,326.73 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $1,332.62 | ↑ +38% |
| HORIZON | PPO | $1,338.82 | ↑ +39% |
| QUALCARE | WORKERS COMP | $1,364.88 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $1,509.43 | ↑ +57% |
| CIGNA | HMO | $2,247.00 | ↑ +133% |
| CIGNA | PPO | $2,518.00 | ↑ +161% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +320% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +413% |
| QUALCARE | HMO | $6,256.00 | ↑ +549% |
| AETNA | HMO | $8,419.00 | ↑ +774% |
| AETNA | PPO | $8,419.00 | ↑ +774% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +931% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,025.44 | $124.48 – $1,076.71 |
| Ocean University Medical Center | Brick | $951.61 | $121.26 – $1,141.94 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $964.62 | $47.14 – $964.62 |
| Jersey Shore University Medical Center | Neptune City | $963.79 | $121.26 – $1,156.54 |
| Palisades Medical Center | North Bergen | $1,025.44 | $124.48 – $1,117.72 |
| Raritan Bay Medical Center | Perth Amboy | $964.62 | $124.48 – $1,157.55 |
| Riverview Medical Center | Red Bank | $963.79 | $121.26 – $1,156.54 |
| Southern Ocean Medical Center | Manahawkin | $951.61 | $121.26 – $1,141.94 |