Chemodenerv trunk musc 6/] 64647 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$766.52
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.
$1,928.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $316.19 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $347.04 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $360.54 | ↓ -53% |
| VACCN | ALL PRODUCTS | $766.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $766.52 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $766.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $766.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $804.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $835.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $919.83 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +55% |
| HORIZON | PIP | $1,243.56 | ↑ +62% |
| HORIZON | WORKERS COMP | $1,243.56 | ↑ +62% |
| HORIZON | OMNIA | $1,316.63 | ↑ +72% |
| BERGEN RISK | ALL PRODUCTS | $1,446.00 | ↑ +89% |
| QUALCARE | PPO | $1,498.06 | ↑ +95% |
| AETNA | ASA | $1,509.62 | ↑ +97% |
| CIGNA | BH | $1,542.40 | ↑ +101% |
| HORIZON | SHP | $1,610.07 | ↑ +110% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +110% |
| HORIZON | HMO | $1,625.88 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,638.80 | ↑ +114% |
| HORIZON | INDEMNITY | $1,649.21 | ↑ +115% |
| AMERIHEALTH | LOCAL HMO | $1,656.54 | ↑ +116% |
| HORIZON | PPO | $1,664.25 | ↑ +117% |
| QUALCARE | WORKERS COMP | $1,696.64 | ↑ +121% |
| AMERIHEALTH | REGIONAL HMO | $1,876.33 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +428% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +546% |
| QUALCARE | HMO | $6,256.00 | ↑ +716% |
| AETNA | PPO | $8,419.00 | ↑ +998% |
| AETNA | HMO | $8,419.00 | ↑ +998% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1196% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenerv trunk musc 6/] 64647 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $815.55 | $283.78 – $856.33 |
| Ocean University Medical Center | Brick | $756.84 | $276.58 – $908.21 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $767.19 | $116.40 – $767.19 |
| Jersey Shore University Medical Center | Neptune City | $766.52 | $276.58 – $919.83 |
| Palisades Medical Center | North Bergen | $815.55 | $283.78 – $888.95 |
| Raritan Bay Medical Center | Perth Amboy | $767.19 | $283.78 – $920.63 |
| Riverview Medical Center | Red Bank | $766.52 | $276.58 – $919.83 |
| Southern Ocean Medical Center | Manahawkin | $756.84 | $276.58 – $908.21 |