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Cataract Surgery at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,524.45
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.
$7,351.00
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.
$1,189.00 with UNITED HEALTHCARE 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $1,205.56 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $1,323.18 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,374.64 | ↓ -46% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,524.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,524.45 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,524.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,524.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,650.67 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,751.65 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $2,783.00 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $3,029.34 | ↑ +20% |
| HORIZON | PIP | $4,741.40 | ↑ +88% |
| HORIZON | WORKERS COMP | $4,741.40 | ↑ +88% |
| HORIZON | OMNIA | $5,020.00 | ↑ +99% |
| BERGEN RISK | ALL PRODUCTS | $5,513.25 | ↑ +118% |
| QUALCARE | PPO | $5,711.73 | ↑ +126% |
| AETNA | ASA | $5,755.83 | ↑ +128% |
| CIGNA | BH | $5,880.80 | ↑ +133% |
| HORIZON | SHP | $6,138.82 | ↑ +143% |
| HORIZON | HMO | $6,199.10 | ↑ +146% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,248.35 | ↑ +148% |
| QUALCARE | HMO | $6,256.00 | ↑ +148% |
| HORIZON | INDEMNITY | $6,288.05 | ↑ +149% |
| AMERIHEALTH | LOCAL HMO | $6,315.98 | ↑ +150% |
| HORIZON | PPO | $6,345.38 | ↑ +151% |
| QUALCARE | WORKERS COMP | $6,468.88 | ↑ +156% |
| CIGNA | HMO | $6,663.00 | ↑ +164% |
| AMERIHEALTH | REGIONAL HMO | $7,153.99 | ↑ +183% |
| CIGNA | PPO | $7,456.00 | ↑ +195% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +223% |
| AETNA | PPO | $8,419.00 | ↑ +233% |
| AETNA | HMO | $8,419.00 | ↑ +233% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +293% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +300% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Cataract Surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $2,685.92 | $1,163.59 – $6,019.20 |
| Ocean University Medical Center | Brick | $2,492.56 | $1,043.84 – $6,315.98 |