Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$778.78
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.
$2,079.00
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.
$340.96 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 | $340.96 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $374.22 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $388.77 | ↓ -50% |
| WELLCARE | MANAGED MEDICAID | $778.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $778.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $817.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $848.87 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $934.53 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +53% |
| HORIZON | PIP | $1,340.96 | ↑ +72% |
| HORIZON | WORKERS COMP | $1,340.96 | ↑ +72% |
| HORIZON | OMNIA | $1,419.75 | ↑ +82% |
| BERGEN RISK | ALL PRODUCTS | $1,559.25 | ↑ +100% |
| QUALCARE | PPO | $1,615.38 | ↑ +107% |
| AETNA | ASA | $1,627.86 | ↑ +109% |
| CIGNA | BH | $1,663.20 | ↑ +114% |
| HORIZON | SHP | $1,736.17 | ↑ +123% |
| HORIZON | HMO | $1,753.22 | ↑ +125% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,767.15 | ↑ +127% |
| HORIZON | INDEMNITY | $1,778.38 | ↑ +128% |
| AMERIHEALTH | LOCAL HMO | $1,786.28 | ↑ +129% |
| HORIZON | PPO | $1,794.59 | ↑ +130% |
| QUALCARE | WORKERS COMP | $1,829.52 | ↑ +135% |
| AMERIHEALTH | REGIONAL HMO | $2,023.28 | ↑ +160% |
| CIGNA | HMO | $2,247.00 | ↑ +189% |
| CIGNA | PPO | $2,518.00 | ↑ +223% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +420% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +535% |
| QUALCARE | HMO | $6,256.00 | ↑ +703% |
| AETNA | PPO | $8,419.00 | ↑ +981% |
| AETNA | HMO | $8,419.00 | ↑ +981% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1175% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $828.59 | $251.94 – $870.02 |
| Ocean University Medical Center | Brick | $768.94 | $242.46 – $922.73 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $779.45 | $113.20 – $779.45 |
| Jersey Shore University Medical Center | Neptune City | $778.78 | $242.46 – $934.53 |
| Palisades Medical Center | North Bergen | $828.59 | $251.94 – $903.16 |
| Raritan Bay Medical Center | Perth Amboy | $779.45 | $251.94 – $935.34 |
| Riverview Medical Center | Red Bank | $778.78 | $242.46 – $934.53 |
| Southern Ocean Medical Center | Manahawkin | $768.94 | $242.46 – $922.73 |