healthcosts.net
Colonoscopy (with biopsy) 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.
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What you pay up front if you don't use insurance.
$4,294.00
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.
$704.22 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 | $704.22 | ↓ -46% |
| CLOVER | MEDICARE ADVANTAGE | $772.92 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $802.98 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -13% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,305.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,305.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,305.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,305.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,370.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,422.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,566.09 | ↑ +20% |
| HORIZON | PIP | $2,769.63 | ↑ +112% |
| HORIZON | WORKERS COMP | $2,769.63 | ↑ +112% |
| HORIZON | OMNIA | $2,932.37 | ↑ +125% |
| CIGNA | HMO | $3,135.00 | ↑ +140% |
| BERGEN RISK | ALL PRODUCTS | $3,220.50 | ↑ +147% |
| QUALCARE | PPO | $3,336.44 | ↑ +156% |
| AETNA | ASA | $3,362.20 | ↑ +158% |
| CIGNA | BH | $3,435.20 | ↑ +163% |
| CIGNA | PPO | $3,508.00 | ↑ +169% |
| HORIZON | SHP | $3,585.92 | ↑ +175% |
| HORIZON | HMO | $3,621.13 | ↑ +177% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,649.90 | ↑ +180% |
| HORIZON | INDEMNITY | $3,673.09 | ↑ +181% |
| AMERIHEALTH | LOCAL HMO | $3,689.40 | ↑ +183% |
| HORIZON | PPO | $3,706.58 | ↑ +184% |
| QUALCARE | WORKERS COMP | $3,778.72 | ↑ +190% |
| AMERIHEALTH | REGIONAL HMO | $4,178.92 | ↑ +220% |
| 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
Colonoscopy (with biopsy) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $1,288.59 | $406.45 – $3,885.64 |
| Hackensack University Medical Center | Hackensack | $1,388.56 | $418.63 – $3,864.60 |