Cystoscopy and treatment at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$738.80
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.
$5,947.00
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.
$738.80 with WELLCARE vs $15,984.00 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $738.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $738.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $738.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $738.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $775.74 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $805.29 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $886.55 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $975.31 | ↑ +32% |
| CLOVER | MEDICARE ADVANTAGE | $1,070.46 | ↑ +45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,112.09 | ↑ +51% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↑ +54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +61% |
| CIGNA | HMO | $3,135.00 | ↑ +324% |
| CIGNA | PPO | $3,508.00 | ↑ +375% |
| HORIZON | PIP | $3,835.82 | ↑ +419% |
| HORIZON | WORKERS COMP | $3,835.82 | ↑ +419% |
| HORIZON | OMNIA | $4,061.21 | ↑ +450% |
| BERGEN RISK | ALL PRODUCTS | $4,460.25 | ↑ +504% |
| QUALCARE | PPO | $4,620.82 | ↑ +525% |
| AETNA | ASA | $4,656.50 | ↑ +530% |
| CIGNA | BH | $4,757.60 | ↑ +544% |
| HORIZON | SHP | $4,966.34 | ↑ +572% |
| HORIZON | HMO | $5,015.11 | ↑ +579% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,054.95 | ↑ +584% |
| HORIZON | INDEMNITY | $5,087.06 | ↑ +589% |
| AMERIHEALTH | LOCAL HMO | $5,109.66 | ↑ +592% |
| HORIZON | PPO | $5,133.45 | ↑ +595% |
| QUALCARE | WORKERS COMP | $5,233.36 | ↑ +608% |
| AMERIHEALTH | REGIONAL HMO | $5,787.62 | ↑ +683% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +725% |
| QUALCARE | HMO | $6,256.00 | ↑ +747% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +919% |
| AETNA | PPO | $8,419.00 | ↑ +1040% |
| AETNA | HMO | $8,419.00 | ↑ +1040% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +2064% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $786.05 | $409.01 – $825.36 |
| Ocean University Medical Center | Brick | $729.46 | $397.66 – $15,984.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $739.44 | $237.30 – $739.44 |
| Jersey Shore University Medical Center | Neptune City | $738.80 | $397.66 – $886.55 |
| Palisades Medical Center | North Bergen | $786.05 | $409.01 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $739.44 | $409.01 – $15,984.00 |
| Riverview Medical Center | Red Bank | $738.80 | $397.66 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $729.46 | $397.66 – $15,984.00 |