Cystorrhaphy wound simple 51860 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$10,235.30
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.
$11,766.00
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.
$1,189.00 with UNITED HEALTHCARE vs $12,282.36 with UNITED HEALTHCARE — 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 | $1,189.00 | ↓ -88% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $1,929.62 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $2,117.88 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,200.24 | ↓ -79% |
| QUALCARE | HMO | $6,256.00 | ↓ -39% |
| HORIZON | OMNIA | $6,984.00 | ↓ -32% |
| HORIZON | PIP | $7,589.07 | ↓ -26% |
| HORIZON | WORKERS COMP | $7,589.07 | ↓ -26% |
| HORIZON | SHP | $8,004.00 | ↓ -22% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↓ -20% |
| AETNA | HMO | $8,419.00 | ↓ -18% |
| AETNA | PPO | $8,419.00 | ↓ -18% |
| HORIZON | HMO | $8,627.00 | ↓ -16% |
| HORIZON | INDEMNITY | $8,748.00 | ↓ -15% |
| BERGEN RISK | ALL PRODUCTS | $8,824.50 | ↓ -14% |
| HORIZON | PPO | $8,830.00 | ↓ -14% |
| QUALCARE | PPO | $9,142.18 | ↓ -11% |
| AETNA | ASA | $9,212.78 | ↓ -10% |
| CIGNA | BH | $9,412.80 | ↓ -8% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -3% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,001.10 | ↓ -2% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↓ -1% |
| AMERIHEALTH | LOCAL HMO | $10,109.35 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $10,235.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $10,235.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $10,235.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $10,235.30 | ↑ +0% |
| QUALCARE | WORKERS COMP | $10,354.08 | ↑ +1% |
| CIGNA | PPO | $10,576.46 | ↑ +3% |
| CIGNA | HMO | $10,576.46 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10,747.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $11,156.48 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $11,450.67 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $12,282.36 | ↑ +20% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cystorrhaphy wound simple 51860 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $10,890.00 | $1,583.21 – $11,434.50 |
| Ocean University Medical Center | Brick | $10,106.03 | $1,536.64 – $12,127.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $10,244.18 | $636.00 – $10,244.18 |
| Jersey Shore University Medical Center | Neptune City | $10,235.30 | $1,536.64 – $12,282.36 |
| Palisades Medical Center | North Bergen | $10,890.00 | $1,583.21 – $11,870.10 |
| Raritan Bay Medical Center | Perth Amboy | $10,244.18 | $1,583.21 – $12,293.01 |
| Riverview Medical Center | Red Bank | $10,235.30 | $1,536.64 – $12,282.36 |
| Southern Ocean Medical Center | Manahawkin | $10,106.03 | $1,536.64 – $12,127.23 |