Ghs opcc repair cvp without subq port at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$684.33
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.
$2,428.00
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.
$398.19 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 | $398.19 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $437.04 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $454.04 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $684.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $684.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $718.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $745.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $821.19 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↑ +67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +74% |
| HORIZON | PIP | $1,566.06 | ↑ +129% |
| HORIZON | WORKERS COMP | $1,566.06 | ↑ +129% |
| HORIZON | OMNIA | $1,658.08 | ↑ +142% |
| BERGEN RISK | ALL PRODUCTS | $1,821.00 | ↑ +166% |
| QUALCARE | PPO | $1,886.56 | ↑ +176% |
| AETNA | ASA | $1,901.12 | ↑ +178% |
| CIGNA | BH | $1,942.40 | ↑ +184% |
| HORIZON | SHP | $2,027.62 | ↑ +196% |
| HORIZON | HMO | $2,047.53 | ↑ +199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,063.80 | ↑ +202% |
| HORIZON | INDEMNITY | $2,076.91 | ↑ +203% |
| AMERIHEALTH | LOCAL HMO | $2,086.14 | ↑ +205% |
| HORIZON | PPO | $2,095.85 | ↑ +206% |
| QUALCARE | WORKERS COMP | $2,136.64 | ↑ +212% |
| AMERIHEALTH | REGIONAL HMO | $2,362.93 | ↑ +245% |
| CIGNA | HMO | $3,135.00 | ↑ +358% |
| CIGNA | PPO | $3,508.00 | ↑ +413% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +492% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +623% |
| QUALCARE | HMO | $6,256.00 | ↑ +814% |
| AETNA | PPO | $8,419.00 | ↑ +1130% |
| AETNA | HMO | $8,419.00 | ↑ +1130% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1351% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Ghs opcc repair cvp without subq port at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $728.10 | $68.76 – $764.51 |
| Ocean University Medical Center | Brick | $675.68 | $66.96 – $810.82 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $68.76 – $684.92 |
| Jersey Shore University Medical Center | Neptune City | $684.33 | $66.96 – $821.19 |
| Palisades Medical Center | North Bergen | $728.10 | $68.76 – $793.63 |
| Raritan Bay Medical Center | Perth Amboy | $684.92 | $68.76 – $821.90 |
| Riverview Medical Center | Red Bank | $684.33 | $66.96 – $821.19 |
| Southern Ocean Medical Center | Manahawkin | $675.68 | $66.96 – $810.82 |