Lap rmvl gastr adj all parts at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,211.08
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.
$6,688.00
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.
$1,096.83 with AETNA vs $45,337.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,096.83 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $1,203.84 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,250.66 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -44% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,211.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,211.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,211.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,211.08 | ↑ +0% |
| HORIZON | PIP | $4,313.76 | ↑ +2% |
| HORIZON | WORKERS COMP | $4,313.76 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,421.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,590.08 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $4,795.00 | ↑ +14% |
| BERGEN RISK | ALL PRODUCTS | $5,016.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $5,053.30 | ↑ +20% |
| AETNA | ASA | $5,236.70 | ↑ +24% |
| CIGNA | BH | $5,350.40 | ↑ +27% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,684.80 | ↑ +35% |
| AMERIHEALTH | LOCAL HMO | $5,746.33 | ↑ +36% |
| QUALCARE | WORKERS COMP | $5,885.44 | ↑ +40% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,019.20 | ↑ +43% |
| AMERIHEALTH | REGIONAL HMO | $6,508.76 | ↑ +55% |
| HORIZON | OMNIA | $13,084.00 | ↑ +211% |
| HORIZON | HMO | $16,161.00 | ↑ +284% |
| HORIZON | INDEMNITY | $16,385.00 | ↑ +289% |
| HORIZON | SHP | $16,489.00 | ↑ +292% |
| HORIZON | PPO | $16,542.00 | ↑ +293% |
| QUALCARE | HMO | $22,975.00 | ↑ +446% |
| QUALCARE | PPO | $24,184.00 | ↑ +474% |
| AETNA | HMO | $32,193.00 | ↑ +664% |
| AETNA | PPO | $32,193.00 | ↑ +664% |
| OXFORD | ALL PRODUCTS | $34,833.00 | ↑ +727% |
| UNITED HEALTHCARE | HMO | $35,249.00 | ↑ +737% |
| CIGNA | HMO | $45,337.00 | ↑ +977% |
| CIGNA | PPO | $45,337.00 | ↑ +977% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lap rmvl gastr adj all parts at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $488.72 – $8,315.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $4,268.38 – $8,536.76 |
| Community Medical Center | Toms River | $3,786.00 | $4,157.89 – $8,274.20 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $4,268.38 – $8,494.08 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $503.10 – $8,536.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $632.46 – $8,916.08 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,211.08 – $8,380.05 |
| Hackensack University Medical Center | Hackensack | $4,480.44 | $2,038.01 – $4,704.46 |