Insert swan-ganz cath at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,719.44
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.
$6,188.00
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.
$1,014.83 with AETNA vs $11,920.00 with BRIGHTON HEALTH PLAN — 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 | $1,014.83 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $1,113.84 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,157.16 | ↓ -33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -31% |
| WELLCARE | MANAGED MEDICAID | $1,719.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,719.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,805.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,874.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,063.33 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,825.00 | ↑ +64% |
| HORIZON | PIP | $3,991.26 | ↑ +132% |
| HORIZON | WORKERS COMP | $3,991.26 | ↑ +132% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +135% |
| HORIZON | OMNIA | $4,225.79 | ↑ +146% |
| BERGEN RISK | ALL PRODUCTS | $4,641.00 | ↑ +170% |
| AETNA | ASA | $4,845.20 | ↑ +182% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +188% |
| CIGNA | BH | $4,950.40 | ↑ +188% |
| HORIZON | SHP | $5,167.60 | ↑ +201% |
| HORIZON | HMO | $5,218.34 | ↑ +203% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,259.80 | ↑ +206% |
| HORIZON | INDEMNITY | $5,293.22 | ↑ +208% |
| AMERIHEALTH | LOCAL HMO | $5,316.73 | ↑ +209% |
| HORIZON | PPO | $5,341.48 | ↑ +211% |
| QUALCARE | WORKERS COMP | $5,445.44 | ↑ +217% |
| CIGNA | HMO | $5,917.58 | ↑ +244% |
| CIGNA | PPO | $5,917.58 | ↑ +244% |
| AMERIHEALTH | REGIONAL HMO | $6,022.16 | ↑ +250% |
| AETNA | HMO | $9,218.00 | ↑ +436% |
| AETNA | PPO | $9,218.00 | ↑ +436% |
| QUALCARE | HMO | $10,873.00 | ↑ +532% |
| QUALCARE | PPO | $11,627.00 | ↑ +576% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +593% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Insert swan-ganz cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $897.01 | $42.96 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $1,012.67 | $220.95 – $3,485.68 |
| Community Medical Center | Toms River | $991.16 | $226.27 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $572.83 | $218.28 – $3,468.25 |
| Newark Beth Israel Medical Center | Newark | $995.46 | $44.23 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $993.07 | $55.60 – $3,640.55 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $143.65 – $1,920.90 |
| Ocean University Medical Center | Brick | $1,697.72 | $140.38 – $14,806.00 |