Fem/popl revasc w/stent at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$12,552.42
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.
$23,955.00
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.
$2,379.00 with UNITED HEALTHCARE vs $26,868.00 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 | $2,379.00 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $3,928.62 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $4,311.90 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $4,335.86 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,479.59 | ↓ -64% |
| HORIZON | OMNIA | $6,984.00 | ↓ -44% |
| HORIZON | SHP | $8,004.00 | ↓ -36% |
| HORIZON | HMO | $8,627.00 | ↓ -31% |
| HORIZON | INDEMNITY | $8,748.00 | ↓ -30% |
| HORIZON | PPO | $8,830.00 | ↓ -30% |
| AETNA | HMO | $10,445.00 | ↓ -17% |
| AETNA | PPO | $10,445.00 | ↓ -17% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $12,552.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,552.42 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,552.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,552.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,180.04 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $14,586.20 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $15,062.91 | ↑ +20% |
| HORIZON | PIP | $15,450.98 | ↑ +23% |
| HORIZON | WORKERS COMP | $15,450.98 | ↑ +23% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↑ +24% |
| QUALCARE | HMO | $18,613.04 | ↑ +48% |
| QUALCARE | PPO | $18,613.04 | ↑ +48% |
| AETNA | ASA | $18,756.77 | ↑ +49% |
| CIGNA | BH | $19,164.00 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $20,361.75 | ↑ +62% |
| AMERIHEALTH | LOCAL HMO | $20,582.14 | ↑ +64% |
| QUALCARE | WORKERS COMP | $21,080.40 | ↑ +68% |
| OXFORD | ALL PRODUCTS | $21,455.00 | ↑ +71% |
| CIGNA | PPO | $22,908.17 | ↑ +83% |
| CIGNA | HMO | $22,908.17 | ↑ +83% |
| AMERIHEALTH | REGIONAL HMO | $23,313.01 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $26,868.00 | ↑ +114% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $13,355.34 | $1,048.05 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,028.35 – $20,014.91 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $1,048.05 – $20,014.91 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $1,028.35 – $15,062.91 |
| Palisades Medical Center | North Bergen | $13,355.34 | $1,048.05 – $14,557.32 |
| Raritan Bay Medical Center | Perth Amboy | $12,563.31 | $1,048.05 – $15,075.97 |
| Riverview Medical Center | Red Bank | $12,552.42 | $1,028.35 – $15,062.91 |
| Southern Ocean Medical Center | Manahawkin | $12,393.88 | $1,028.35 – $14,872.66 |