Insj phrnc nrv stim sys at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$49,809.25
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.
$150,200.00
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 $135,014.78 with CIGNA — 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 | ↓ -97% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -95% |
| QUALCARE | HMO | $6,256.00 | ↓ -87% |
| HORIZON | OMNIA | $6,984.00 | ↓ -86% |
| HORIZON | SHP | $8,004.00 | ↓ -84% |
| AETNA | PPO | $8,419.00 | ↓ -83% |
| AETNA | HMO | $8,419.00 | ↓ -83% |
| HORIZON | HMO | $8,627.00 | ↓ -83% |
| HORIZON | INDEMNITY | $8,748.00 | ↓ -82% |
| HORIZON | PPO | $8,830.00 | ↓ -82% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -80% |
| QUALCARE | PPO | $10,231.00 | ↓ -79% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -78% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↓ -72% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -69% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $24,632.80 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $27,036.00 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $28,087.40 | ↓ -44% |
| OXFORD | ALL PRODUCTS | $30,671.00 | ↓ -38% |
| UNITED HEALTHCARE | HMO | $38,472.00 | ↓ -23% |
| VACCN | ALL PRODUCTS | $49,809.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $49,809.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $49,809.25 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $49,809.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $52,299.72 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $54,292.09 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $59,771.10 | ↑ +20% |
| HORIZON | PIP | $96,879.00 | ↑ +95% |
| HORIZON | WORKERS COMP | $96,879.00 | ↑ +95% |
| AETNA | ASA | $117,606.60 | ↑ +136% |
| CIGNA | BH | $120,160.00 | ↑ +141% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $127,670.00 | ↑ +156% |
| CIGNA | PPO | $135,014.78 | ↑ +171% |
| CIGNA | HMO | $135,014.78 | ↑ +171% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insj phrnc nrv stim sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $288.25 – $98,360.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $515.39 – $100,973.92 |
| Community Medical Center | Toms River | $3,786.00 | $527.81 – $97,868.50 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $509.18 – $100,469.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $296.73 – $100,973.92 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $373.03 – $105,460.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,018.36 – $99,120.41 |
| Hackensack University Medical Center | Hackensack | $52,995.29 | $1,202.82 – $55,645.05 |