Incision of spinal nerve 64772 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,161.44
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.
$4,205.00
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.
$689.62 with AETNA vs $10,105.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $689.62 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $756.90 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $786.34 | ↓ -64% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -45% |
| VACCN | ALL PRODUCTS | $2,161.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,161.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,269.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,355.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,593.73 | ↑ +20% |
| HORIZON | PIP | $2,712.23 | ↑ +25% |
| HORIZON | WORKERS COMP | $2,712.23 | ↑ +25% |
| HORIZON | OMNIA | $2,871.59 | ↑ +33% |
| CIGNA | HMO | $3,135.00 | ↑ +45% |
| BERGEN RISK | ALL PRODUCTS | $3,153.75 | ↑ +46% |
| QUALCARE | PPO | $3,267.29 | ↑ +51% |
| AETNA | ASA | $3,292.52 | ↑ +52% |
| CIGNA | BH | $3,364.00 | ↑ +56% |
| CIGNA | PPO | $3,508.00 | ↑ +62% |
| HORIZON | SHP | $3,511.60 | ↑ +62% |
| HORIZON | HMO | $3,546.08 | ↑ +64% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,574.25 | ↑ +65% |
| HORIZON | INDEMNITY | $3,596.96 | ↑ +66% |
| AMERIHEALTH | LOCAL HMO | $3,612.94 | ↑ +67% |
| HORIZON | PPO | $3,629.76 | ↑ +68% |
| QUALCARE | WORKERS COMP | $3,700.40 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $4,092.31 | ↑ +89% |
| QUALCARE | HMO | $6,256.00 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +277% |
| AETNA | HMO | $8,419.00 | ↑ +290% |
| AETNA | PPO | $8,419.00 | ↑ +290% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +360% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +368% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incision of spinal nerve 64772 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $2,299.70 | $1,211.12 – $2,414.68 |
| Ocean University Medical Center | Brick | $2,134.14 | $1,171.41 – $2,560.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,163.32 | $445.42 – $2,163.32 |
| Jersey Shore University Medical Center | Neptune City | $2,161.44 | $1,171.41 – $2,593.73 |
| Palisades Medical Center | North Bergen | $2,299.70 | $1,211.12 – $2,506.67 |
| Raritan Bay Medical Center | Perth Amboy | $2,163.32 | $1,211.12 – $2,595.98 |
| Riverview Medical Center | Red Bank | $2,161.44 | $1,171.41 – $2,593.73 |
| Southern Ocean Medical Center | Manahawkin | $2,134.14 | $1,171.41 – $2,560.97 |