Insert sq defib electrode at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$9,160.35
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.
$16,493.00
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.
$1,613.00 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -82% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $2,704.85 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $2,968.74 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,084.19 | ↓ -66% |
| QUALCARE | HMO | $6,256.00 | ↓ -32% |
| HORIZON | OMNIA | $6,984.00 | ↓ -24% |
| HORIZON | SHP | $8,004.00 | ↓ -13% |
| AETNA | HMO | $8,419.00 | ↓ -8% |
| AETNA | PPO | $8,419.00 | ↓ -8% |
| HORIZON | HMO | $8,627.00 | ↓ -6% |
| HORIZON | INDEMNITY | $8,748.00 | ↓ -5% |
| HORIZON | PPO | $8,830.00 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9,160.35 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9,160.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,618.37 | ↑ +5% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $9,984.78 | ↑ +9% |
| QUALCARE | PPO | $10,231.00 | ↑ +12% |
| HORIZON | PIP | $10,637.99 | ↑ +16% |
| HORIZON | WORKERS COMP | $10,637.99 | ↑ +16% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $10,992.42 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $12,369.75 | ↑ +35% |
| AETNA | ASA | $12,914.02 | ↑ +41% |
| CIGNA | BH | $13,194.40 | ↑ +44% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $14,019.05 | ↑ +53% |
| CIGNA | HMO | $14,825.56 | ↑ +62% |
| CIGNA | PPO | $14,825.56 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↑ +72% |
| OXFORD | ALL PRODUCTS | $133,135.00 | ↑ +1353% |
| UNITED HEALTHCARE | HMO | $135,176.00 | ↑ +1376% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Insert sq defib electrode at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $227.02 – $18,089.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $9,284.99 – $18,569.98 |
| Community Medical Center | Toms River | $3,786.00 | $9,044.65 – $17,998.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $9,284.99 – $18,477.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $233.70 – $18,569.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $293.79 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $9,160.35 – $18,229.10 |
| Hackensack University Medical Center | Hackensack | $9,746.29 | $947.18 – $10,233.61 |