Cystouretero w/stone remove at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,817.53
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.
$5,796.00
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.
$950.54 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $950.54 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $1,043.28 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $1,049.08 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,083.85 | ↓ -72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -69% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -58% |
| HORIZON | WORKERS COMP | $3,738.42 | ↓ -2% |
| HORIZON | PIP | $3,738.42 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,817.53 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,817.53 | ↑ +0% |
| HORIZON | OMNIA | $3,958.09 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,008.40 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $4,347.00 | ↑ +14% |
| CIGNA | HMO | $4,412.00 | ↑ +16% |
| QUALCARE | PPO | $4,503.49 | ↑ +18% |
| AETNA | ASA | $4,538.27 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,581.03 | ↑ +20% |
| CIGNA | BH | $4,636.80 | ↑ +21% |
| HORIZON | SHP | $4,840.24 | ↑ +27% |
| HORIZON | HMO | $4,887.77 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,926.60 | ↑ +29% |
| CIGNA | PPO | $4,943.00 | ↑ +29% |
| HORIZON | INDEMNITY | $4,957.90 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $4,979.92 | ↑ +30% |
| HORIZON | PPO | $5,003.11 | ↑ +31% |
| QUALCARE | WORKERS COMP | $5,100.48 | ↑ +34% |
| AMERIHEALTH | REGIONAL HMO | $5,640.67 | ↑ +48% |
| QUALCARE | HMO | $6,256.00 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +113% |
| AETNA | HMO | $8,419.00 | ↑ +121% |
| AETNA | PPO | $8,419.00 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +165% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +319% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero w/stone remove at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $4,061.71 | $733.81 – $4,264.80 |
| Ocean University Medical Center | Brick | $3,769.31 | $714.02 – $6,058.60 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,820.84 | $448.00 – $6,058.60 |
| Jersey Shore University Medical Center | Neptune City | $3,817.53 | $714.02 – $4,581.03 |
| Palisades Medical Center | North Bergen | $4,061.71 | $441.28 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $3,820.84 | $560.00 – $15,984.00 |
| Riverview Medical Center | Red Bank | $3,817.53 | $714.02 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $3,769.31 | $714.02 – $15,984.00 |