Chemodenervation anal musc at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,305.08
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.
$5,521.00
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.
$905.44 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 | $905.44 | ↓ -31% |
| CLOVER | MEDICARE ADVANTAGE | $993.78 | ↓ -24% |
| AETNA | MEDICARE ADVANTAGE | $999.30 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,032.43 | ↓ -21% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -9% |
| VACCN | ALL PRODUCTS | $1,305.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,305.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,305.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,305.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,370.33 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $1,566.09 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +24% |
| CIGNA | HMO | $2,247.00 | ↑ +72% |
| CIGNA | PPO | $2,518.00 | ↑ +93% |
| HORIZON | PIP | $3,561.05 | ↑ +173% |
| HORIZON | WORKERS COMP | $3,561.05 | ↑ +173% |
| HORIZON | OMNIA | $3,770.29 | ↑ +189% |
| BERGEN RISK | ALL PRODUCTS | $4,140.75 | ↑ +217% |
| QUALCARE | PPO | $4,289.82 | ↑ +229% |
| AETNA | ASA | $4,322.94 | ↑ +231% |
| CIGNA | BH | $4,416.80 | ↑ +238% |
| HORIZON | SHP | $4,610.59 | ↑ +253% |
| HORIZON | HMO | $4,655.86 | ↑ +257% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,692.85 | ↑ +260% |
| HORIZON | INDEMNITY | $4,722.66 | ↑ +262% |
| AMERIHEALTH | LOCAL HMO | $4,743.64 | ↑ +263% |
| HORIZON | PPO | $4,765.73 | ↑ +265% |
| QUALCARE | WORKERS COMP | $4,858.48 | ↑ +272% |
| AMERIHEALTH | REGIONAL HMO | $5,373.04 | ↑ +312% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +367% |
| QUALCARE | HMO | $6,256.00 | ↑ +379% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +477% |
| AETNA | PPO | $8,419.00 | ↑ +545% |
| AETNA | HMO | $8,419.00 | ↑ +545% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +661% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenervation anal musc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,388.56 | $543.55 – $1,457.98 |
| Ocean University Medical Center | Brick | $1,288.59 | $524.03 – $2,028.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,306.21 | $194.12 – $2,028.17 |
| Jersey Shore University Medical Center | Neptune City | $1,305.08 | $524.03 – $1,566.09 |
| Palisades Medical Center | North Bergen | $1,388.56 | $191.21 – $1,513.53 |
| Raritan Bay Medical Center | Perth Amboy | $1,306.21 | $242.65 – $2,669.48 |
| Riverview Medical Center | Red Bank | $1,305.08 | $524.03 – $1,566.09 |
| Southern Ocean Medical Center | Manahawkin | $1,288.59 | $524.03 – $1,546.31 |