Implant eye drug system at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$17,006.72
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.
$17,622.00
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.
$1,613.00 with HORIZON vs $20,408.06 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -91% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $2,890.01 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $3,171.96 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,295.31 | ↓ -81% |
| CIGNA | HMO | $4,412.00 | ↓ -74% |
| CIGNA | PPO | $4,943.00 | ↓ -71% |
| QUALCARE | HMO | $6,256.00 | ↓ -63% |
| HORIZON | OMNIA | $6,984.00 | ↓ -59% |
| HORIZON | SHP | $8,004.00 | ↓ -53% |
| AETNA | HMO | $8,419.00 | ↓ -50% |
| AETNA | PPO | $8,419.00 | ↓ -50% |
| HORIZON | HMO | $8,627.00 | ↓ -49% |
| HORIZON | INDEMNITY | $8,748.00 | ↓ -49% |
| HORIZON | PPO | $8,830.00 | ↓ -48% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -42% |
| QUALCARE | PPO | $10,231.00 | ↓ -40% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -36% |
| HORIZON | PIP | $11,366.19 | ↓ -33% |
| HORIZON | WORKERS COMP | $11,366.19 | ↓ -33% |
| BERGEN RISK | ALL PRODUCTS | $13,216.50 | ↓ -22% |
| AETNA | ASA | $13,798.03 | ↓ -19% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↓ -18% |
| CIGNA | BH | $14,097.60 | ↓ -17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $14,978.70 | ↓ -12% |
| OXFORD | ALL PRODUCTS | $15,567.00 | ↓ -8% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $17,006.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17,006.72 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $17,006.72 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $17,006.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $17,857.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $18,537.32 | ↑ +9% |
| UNITED HEALTHCARE | HMO | $19,454.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $20,408.06 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Implant eye drug system at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $18,094.55 | $1,809.91 – $18,999.27 |
| Ocean University Medical Center | Brick | $16,791.92 | $1,742.04 – $20,150.30 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17,021.47 | $1,809.91 – $17,021.47 |
| Jersey Shore University Medical Center | Neptune City | $17,006.72 | $1,742.04 – $20,408.06 |
| Palisades Medical Center | North Bergen | $18,094.55 | $1,809.91 – $19,723.05 |
| Raritan Bay Medical Center | Perth Amboy | $17,021.47 | $1,809.91 – $20,425.76 |
| Riverview Medical Center | Red Bank | $17,006.72 | $1,742.04 – $20,408.06 |
| Southern Ocean Medical Center | Manahawkin | $16,791.92 | $1,742.04 – $20,150.30 |