Esophagoscopy/flex/diagnostic 43200 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,037.75
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.
$3,903.00
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.
$640.09 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 | $640.09 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $702.54 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $729.86 | ↓ -30% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↓ -16% |
| WELLCARE | MANAGED MEDICAID | $1,037.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,037.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,089.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,131.14 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $1,245.30 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +117% |
| HORIZON | PIP | $2,517.44 | ↑ +143% |
| HORIZON | WORKERS COMP | $2,517.44 | ↑ +143% |
| CIGNA | PPO | $2,518.00 | ↑ +143% |
| HORIZON | OMNIA | $2,665.36 | ↑ +157% |
| BERGEN RISK | ALL PRODUCTS | $2,927.25 | ↑ +182% |
| QUALCARE | PPO | $3,032.63 | ↑ +192% |
| AETNA | ASA | $3,056.05 | ↑ +194% |
| CIGNA | BH | $3,122.40 | ↑ +201% |
| HORIZON | SHP | $3,259.40 | ↑ +214% |
| HORIZON | HMO | $3,291.40 | ↑ +217% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,317.55 | ↑ +220% |
| HORIZON | INDEMNITY | $3,338.63 | ↑ +222% |
| AMERIHEALTH | LOCAL HMO | $3,353.46 | ↑ +223% |
| HORIZON | PPO | $3,369.07 | ↑ +225% |
| QUALCARE | WORKERS COMP | $3,434.64 | ↑ +231% |
| AMERIHEALTH | REGIONAL HMO | $3,798.40 | ↑ +266% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +487% |
| QUALCARE | HMO | $6,256.00 | ↑ +503% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +625% |
| AETNA | PPO | $8,419.00 | ↑ +711% |
| AETNA | HMO | $8,419.00 | ↑ +711% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +857% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Esophagoscopy/flex/diagnostic 43200 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,104.13 | $186.13 – $1,159.33 |
| Ocean University Medical Center | Brick | $1,024.64 | $180.47 – $1,229.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,038.65 | $170.00 – $1,038.65 |
| Jersey Shore University Medical Center | Neptune City | $1,037.75 | $180.47 – $1,245.30 |
| Palisades Medical Center | North Bergen | $1,104.13 | $186.13 – $1,203.50 |
| Raritan Bay Medical Center | Perth Amboy | $1,038.65 | $186.13 – $1,246.38 |
| Riverview Medical Center | Red Bank | $1,037.75 | $180.47 – $1,245.30 |
| Southern Ocean Medical Center | Manahawkin | $1,024.64 | $180.47 – $1,229.57 |