Insert tissue expander(s) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,052.18
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.
?
What you pay up front if you don't use insurance.
$7,076.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,141.00 with HORIZON vs $13,844.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,141.00 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $1,160.46 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,273.68 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,323.21 | ↓ -67% |
| CIGNA | HMO | $3,135.00 | ↓ -23% |
| CIGNA | PPO | $3,508.00 | ↓ -13% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,052.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,052.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,052.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,052.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,254.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,416.88 | ↑ +9% |
| HORIZON | PIP | $4,564.02 | ↑ +13% |
| HORIZON | WORKERS COMP | $4,564.02 | ↑ +13% |
| HORIZON | OMNIA | $4,832.20 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,862.62 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $5,307.00 | ↑ +31% |
| QUALCARE | PPO | $5,498.05 | ↑ +36% |
| AETNA | ASA | $5,540.51 | ↑ +37% |
| CIGNA | BH | $5,660.80 | ↑ +40% |
| HORIZON | SHP | $5,909.17 | ↑ +46% |
| HORIZON | HMO | $5,967.19 | ↑ +47% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,014.60 | ↑ +48% |
| HORIZON | INDEMNITY | $6,052.81 | ↑ +49% |
| AMERIHEALTH | LOCAL HMO | $6,079.70 | ↑ +50% |
| HORIZON | PPO | $6,108.00 | ↑ +51% |
| QUALCARE | WORKERS COMP | $6,226.88 | ↑ +54% |
| QUALCARE | HMO | $6,256.00 | ↑ +54% |
| AMERIHEALTH | REGIONAL HMO | $6,886.36 | ↑ +70% |
| AETNA | HMO | $8,419.00 | ↑ +108% |
| AETNA | PPO | $8,419.00 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +174% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +242% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Insert tissue expander(s) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $523.89 – $8,002.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $578.49 – $8,214.64 |
| Community Medical Center | Toms River | $3,786.00 | $592.43 – $7,961.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $571.52 – $8,173.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $539.30 – $8,214.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $627.28 – $8,579.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,143.05 – $8,063.84 |
| Hackensack University Medical Center | Hackensack | $4,311.38 | $2,213.51 – $4,526.95 |