Ins icd gen exist mlt leads at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$35,487.68
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.
$75,878.00
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.
$12,443.99 with AETNA vs $135,176.00 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 | $12,443.99 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $13,658.04 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14,189.19 | ↓ -60% |
| VACCN | ALL PRODUCTS | $35,487.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $35,487.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35,487.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $35,487.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $37,262.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $38,681.57 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $42,585.22 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $44,692.14 | ↑ +26% |
| HORIZON | MANAGED MEDICAID | $46,202.11 | ↑ +30% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $48,561.92 | ↑ +37% |
| HORIZON | PIP | $48,941.31 | ↑ +38% |
| HORIZON | WORKERS COMP | $48,941.31 | ↑ +38% |
| HORIZON | OMNIA | $51,817.09 | ↑ +46% |
| BERGEN RISK | ALL PRODUCTS | $56,908.50 | ↑ +60% |
| QUALCARE | PPO | $58,957.21 | ↑ +66% |
| QUALCARE | HMO | $58,957.21 | ↑ +66% |
| AETNA | ASA | $59,412.47 | ↑ +67% |
| CIGNA | BH | $60,702.40 | ↑ +71% |
| HORIZON | SHP | $63,365.72 | ↑ +79% |
| HORIZON | HMO | $63,987.92 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $64,496.30 | ↑ +82% |
| HORIZON | INDEMNITY | $64,906.04 | ↑ +83% |
| AMERIHEALTH | LOCAL HMO | $65,194.38 | ↑ +84% |
| HORIZON | PPO | $65,497.89 | ↑ +85% |
| QUALCARE | WORKERS COMP | $66,772.64 | ↑ +88% |
| AETNA | PPO | $68,290.20 | ↑ +92% |
| AETNA | HMO | $68,290.20 | ↑ +92% |
| CIGNA | PPO | $72,562.13 | ↑ +104% |
| CIGNA | HMO | $72,562.13 | ↑ +104% |
| AMERIHEALTH | REGIONAL HMO | $73,844.47 | ↑ +108% |
| OXFORD | ALL PRODUCTS | $133,135.00 | ↑ +275% |
| UNITED HEALTHCARE | HMO | $135,176.00 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ins icd gen exist mlt leads at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $200.47 – $70,078.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $35,970.53 – $71,941.06 |
| Community Medical Center | Toms River | $3,786.00 | $35,039.46 – $69,728.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $35,970.53 – $71,581.35 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $206.37 – $71,941.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $259.43 – $75,137.70 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $35,487.68 – $70,620.48 |
| Hackensack University Medical Center | Hackensack | $37,757.64 | $837.72 – $39,645.52 |