Ins lv lead exist pm/icd at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$11,583.66
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.
$26,431.00
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.
$4,334.68 with AETNA vs $62,971.00 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 | $4,334.68 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $4,757.58 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,942.60 | ↓ -57% |
| VACCN | ALL PRODUCTS | $11,583.66 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,583.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,162.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12,626.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13,900.39 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $15,567.86 | ↑ +34% |
| HORIZON | MANAGED MEDICAID | $16,093.84 | ↑ +39% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $16,915.84 | ↑ +46% |
| HORIZON | PIP | $17,048.00 | ↑ +47% |
| HORIZON | WORKERS COMP | $17,048.00 | ↑ +47% |
| HORIZON | OMNIA | $18,049.73 | ↑ +56% |
| BERGEN RISK | ALL PRODUCTS | $19,823.25 | ↑ +71% |
| QUALCARE | PPO | $20,536.89 | ↑ +77% |
| QUALCARE | HMO | $20,536.89 | ↑ +77% |
| AETNA | ASA | $20,695.47 | ↑ +79% |
| CIGNA | BH | $21,144.80 | ↑ +83% |
| HORIZON | SHP | $22,072.53 | ↑ +91% |
| HORIZON | HMO | $22,289.26 | ↑ +92% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $22,466.35 | ↑ +94% |
| HORIZON | INDEMNITY | $22,609.08 | ↑ +95% |
| AMERIHEALTH | LOCAL HMO | $22,709.52 | ↑ +96% |
| HORIZON | PPO | $22,815.24 | ↑ +97% |
| QUALCARE | WORKERS COMP | $23,259.28 | ↑ +101% |
| AETNA | PPO | $23,787.90 | ↑ +105% |
| AETNA | HMO | $23,787.90 | ↑ +105% |
| CIGNA | PPO | $25,275.97 | ↑ +118% |
| CIGNA | HMO | $25,275.97 | ↑ +118% |
| AMERIHEALTH | REGIONAL HMO | $25,722.65 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $62,104.00 | ↑ +436% |
| UNITED HEALTHCARE | HMO | $62,971.00 | ↑ +444% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $252.64 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $486.38 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $498.10 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $480.52 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $260.07 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $326.95 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $961.04 – $23,051.48 |
| Hackensack University Medical Center | Hackensack | $12,324.60 | $1,051.37 – $12,940.83 |