Insert lens prosthesis at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,524.45
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.
$3,794.00
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.
$622.22 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 | $622.22 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $682.92 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $709.48 | ↓ -72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $2,302.00 | ↓ -9% |
| HORIZON | WORKERS COMP | $2,447.13 | ↓ -3% |
| HORIZON | PIP | $2,447.13 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $2,524.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,524.45 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,524.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,524.45 | ↑ +0% |
| HORIZON | OMNIA | $2,590.92 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,650.67 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,751.65 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $2,845.50 | ↑ +13% |
| QUALCARE | PPO | $2,947.94 | ↑ +17% |
| AETNA | ASA | $2,970.70 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $3,029.34 | ↑ +20% |
| CIGNA | BH | $3,035.20 | ↑ +20% |
| HORIZON | SHP | $3,168.37 | ↑ +26% |
| HORIZON | HMO | $3,199.48 | ↑ +27% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,224.90 | ↑ +28% |
| HORIZON | INDEMNITY | $3,245.39 | ↑ +29% |
| AMERIHEALTH | LOCAL HMO | $3,259.80 | ↑ +29% |
| HORIZON | PPO | $3,274.98 | ↑ +30% |
| QUALCARE | WORKERS COMP | $3,338.72 | ↑ +32% |
| AMERIHEALTH | REGIONAL HMO | $3,692.32 | ↑ +46% |
| CIGNA | HMO | $5,681.00 | ↑ +125% |
| QUALCARE | HMO | $6,256.00 | ↑ +148% |
| CIGNA | PPO | $6,365.00 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +223% |
| AETNA | PPO | $8,419.00 | ↑ +233% |
| AETNA | HMO | $8,419.00 | ↑ +233% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +293% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +300% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insert lens prosthesis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $652.38 – $5,117.60 |
| Community Medical Center | Toms River | $3,786.00 | $668.10 – $4,960.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $644.52 – $5,092.01 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $505.16 – $5,344.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,289.04 – $5,023.66 |
| Hackensack University Medical Center | Hackensack | $2,685.92 | $1,650.38 – $2,820.22 |
| Ocean University Medical Center | Brick | $2,492.56 | $1,586.57 – $2,991.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,526.64 | $786.00 – $2,526.64 |