Clearance of airways at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$225.12
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.
$526.00
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.
$86.26 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $86.26 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $94.68 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $98.36 | ↓ -56% |
| VACCN | ALL PRODUCTS | $225.12 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $225.12 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $225.12 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $225.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $236.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $245.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $270.15 | ↑ +20% |
| HORIZON | PIP | $339.27 | ↑ +51% |
| HORIZON | WORKERS COMP | $339.27 | ↑ +51% |
| HORIZON | OMNIA | $359.21 | ↑ +60% |
| BERGEN RISK | ALL PRODUCTS | $394.50 | ↑ +75% |
| QUALCARE | PPO | $408.70 | ↑ +82% |
| AETNA | ASA | $411.86 | ↑ +83% |
| CIGNA | BH | $420.80 | ↑ +87% |
| HORIZON | SHP | $439.26 | ↑ +95% |
| HORIZON | HMO | $443.58 | ↑ +97% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $447.10 | ↑ +99% |
| HORIZON | INDEMNITY | $449.94 | ↑ +100% |
| AMERIHEALTH | LOCAL HMO | $451.94 | ↑ +101% |
| HORIZON | PPO | $454.04 | ↑ +102% |
| QUALCARE | WORKERS COMP | $462.88 | ↑ +106% |
| AMERIHEALTH | REGIONAL HMO | $511.90 | ↑ +127% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↑ +286% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +428% |
| CIGNA | HMO | $2,247.00 | ↑ +898% |
| CIGNA | PPO | $2,518.00 | ↑ +1019% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +1130% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +1382% |
| QUALCARE | HMO | $6,256.00 | ↑ +2679% |
| AETNA | HMO | $8,419.00 | ↑ +3640% |
| AETNA | PPO | $8,419.00 | ↑ +3640% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4312% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of airways at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $239.52 | $99.96 – $251.50 |
| Ocean University Medical Center | Brick | $222.28 | $97.42 – $266.74 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $225.32 | $47.52 – $225.32 |
| Jersey Shore University Medical Center | Neptune City | $225.12 | $97.42 – $270.15 |
| Palisades Medical Center | North Bergen | $239.52 | $99.96 – $261.08 |
| Raritan Bay Medical Center | Perth Amboy | $225.32 | $99.96 – $270.38 |
| Riverview Medical Center | Red Bank | $225.12 | $97.42 – $270.15 |
| Southern Ocean Medical Center | Manahawkin | $222.28 | $97.42 – $266.74 |