Incision of hip tendon at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,771.43
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.
?
What you pay up front if you don't use insurance.
$5,919.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$970.72 with AETNA vs $10,105.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $970.72 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $1,065.42 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,106.85 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| CIGNA | HMO | $3,135.00 | ↑ +77% |
| CIGNA | PPO | $3,508.00 | ↑ +98% |
| HORIZON | PIP | $3,817.76 | ↑ +116% |
| HORIZON | WORKERS COMP | $3,817.76 | ↑ +116% |
| HORIZON | OMNIA | $4,042.09 | ↑ +128% |
| BERGEN RISK | ALL PRODUCTS | $4,439.25 | ↑ +151% |
| QUALCARE | PPO | $4,599.06 | ↑ +160% |
| AETNA | ASA | $4,634.58 | ↑ +162% |
| CIGNA | BH | $4,735.20 | ↑ +167% |
| HORIZON | SHP | $4,942.96 | ↑ +179% |
| HORIZON | HMO | $4,991.49 | ↑ +182% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,031.15 | ↑ +184% |
| HORIZON | INDEMNITY | $5,063.11 | ↑ +186% |
| AMERIHEALTH | LOCAL HMO | $5,085.60 | ↑ +187% |
| HORIZON | PPO | $5,109.28 | ↑ +188% |
| QUALCARE | WORKERS COMP | $5,208.72 | ↑ +194% |
| AMERIHEALTH | REGIONAL HMO | $5,760.37 | ↑ +225% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +360% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +470% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Incision of hip tendon at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,884.74 | $851.75 – $1,978.98 |
| Ocean University Medical Center | Brick | $1,749.06 | $821.44 – $2,098.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $395.50 – $1,772.97 |
| Jersey Shore University Medical Center | Neptune City | $1,771.43 | $821.44 – $2,125.72 |
| Palisades Medical Center | North Bergen | $1,884.74 | $851.75 – $2,054.37 |
| Raritan Bay Medical Center | Perth Amboy | $1,772.97 | $851.75 – $2,127.56 |
| Riverview Medical Center | Red Bank | $1,771.43 | $821.44 – $2,125.72 |
| Southern Ocean Medical Center | Manahawkin | $1,749.06 | $821.44 – $2,098.87 |