Cath plc art ang/grft lt/rt hr at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,560.12
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.
$15,463.00
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.
$2,379.00 with UNITED HEALTHCARE vs $22,114.00 with AMERIHEALTH — 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 | $2,379.00 | ↓ -33% |
| AETNA | MANAGED MEDICAID | $2,535.93 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $2,783.34 | ↓ -22% |
| HORIZON | MANAGED MEDICAID | $2,825.00 | ↓ -21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,891.58 | ↓ -19% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,560.12 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,560.12 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,560.12 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,560.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,738.12 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,880.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,272.14 | ↑ +20% |
| HORIZON | OMNIA | $6,984.00 | ↑ +96% |
| HORIZON | SHP | $8,004.00 | ↑ +125% |
| HORIZON | HMO | $8,627.00 | ↑ +142% |
| HORIZON | INDEMNITY | $8,748.00 | ↑ +146% |
| HORIZON | PPO | $8,830.00 | ↑ +148% |
| AETNA | PPO | $9,218.00 | ↑ +159% |
| AETNA | HMO | $9,218.00 | ↑ +159% |
| HORIZON | PIP | $9,973.64 | ↑ +180% |
| HORIZON | WORKERS COMP | $9,973.64 | ↑ +180% |
| QUALCARE | HMO | $10,873.00 | ↑ +205% |
| BERGEN RISK | ALL PRODUCTS | $11,597.25 | ↑ +226% |
| QUALCARE | PPO | $11,627.00 | ↑ +227% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +235% |
| AETNA | ASA | $12,107.53 | ↑ +240% |
| CIGNA | BH | $12,370.40 | ↑ +247% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $13,143.55 | ↑ +269% |
| QUALCARE | WORKERS COMP | $13,607.44 | ↑ +282% |
| CIGNA | HMO | $14,857.00 | ↑ +317% |
| OXFORD | ALL PRODUCTS | $15,567.00 | ↑ +337% |
| CIGNA | PPO | $17,062.00 | ↑ +379% |
| UNITED HEALTHCARE | HMO | $19,454.00 | ↑ +446% |
| AMERIHEALTH | LOCAL HMO | $19,565.00 | ↑ +450% |
| AMERIHEALTH | REGIONAL HMO | $22,114.00 | ↑ +521% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $3,787.84 | $2,405.49 – $3,977.23 |
| Ocean University Medical Center | Brick | $3,515.15 | $2,293.15 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,563.20 | $2,405.49 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $3,560.12 | $2,293.15 – $4,272.14 |
| Palisades Medical Center | North Bergen | $3,787.84 | $1,554.78 – $4,128.74 |
| Raritan Bay Medical Center | Perth Amboy | $3,563.20 | $2,405.49 – $9,707.20 |
| Riverview Medical Center | Red Bank | $3,560.12 | $2,293.15 – $4,272.14 |
| Southern Ocean Medical Center | Manahawkin | $3,515.15 | $2,293.15 – $4,218.18 |