Gu dilat ureter/urethra s&i at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,267.41
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.
$4,466.00
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.
$184.47 with AETNA vs $4,854.52 with OXFORD — 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 | PPO | $184.47 | ↓ -92% |
| AETNA | HMO | $184.47 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $236.22 | ↓ -90% |
| CIGNA | PPO | $291.25 | ↓ -87% |
| CIGNA | HMO | $291.25 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $732.42 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $803.88 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $835.14 | ↓ -63% |
| QUALCARE | HMO | $2,215.14 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,267.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,267.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,380.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,471.48 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $2,719.35 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $2,720.90 | ↑ +20% |
| HORIZON | PIP | $2,880.57 | ↑ +27% |
| HORIZON | WORKERS COMP | $2,880.57 | ↑ +27% |
| HORIZON | OMNIA | $3,049.83 | ↑ +35% |
| BERGEN RISK | ALL PRODUCTS | $3,349.50 | ↑ +48% |
| QUALCARE | PPO | $3,470.08 | ↑ +53% |
| AETNA | ASA | $3,496.88 | ↑ +54% |
| CIGNA | BH | $3,572.80 | ↑ +58% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,572.80 | ↑ +58% |
| HORIZON | SHP | $3,729.56 | ↑ +64% |
| HORIZON | HMO | $3,766.18 | ↑ +66% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,796.10 | ↑ +67% |
| HORIZON | INDEMNITY | $3,820.22 | ↑ +68% |
| AMERIHEALTH | LOCAL HMO | $3,837.19 | ↑ +69% |
| HORIZON | PPO | $3,855.05 | ↑ +70% |
| QUALCARE | WORKERS COMP | $3,930.08 | ↑ +73% |
| AMERIHEALTH | REGIONAL HMO | $4,346.31 | ↑ +92% |
| UNITED HEALTHCARE | HMO | $4,854.52 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $4,854.52 | ↑ +114% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $2,412.45 | $227.06 – $5,544.82 |
| Ocean University Medical Center | Brick | $2,238.78 | $184.47 – $2,238.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,269.38 | $229.94 – $5,141.40 |
| Jersey Shore University Medical Center | Neptune City | $2,267.41 | $192.10 – $2,380.78 |
| Palisades Medical Center | North Bergen | $2,412.45 | $174.56 – $4,854.52 |
| Raritan Bay Medical Center | Perth Amboy | $2,269.38 | $184.47 – $4,854.52 |
| Riverview Medical Center | Red Bank | $2,267.41 | $184.47 – $4,854.52 |
| Southern Ocean Medical Center | Manahawkin | $2,238.78 | $204.65 – $2,350.71 |