Ligate leg veins open at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,483.84
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.
$8,064.00
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.
$1,189.00 with UNITED HEALTHCARE vs $9,933.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $1,322.50 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $1,451.52 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,507.97 | ↓ -57% |
| HORIZON | MANAGED MEDICAID | $2,302.00 | ↓ -34% |
| CIGNA | HMO | $3,135.00 | ↓ -10% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| CIGNA | PPO | $3,508.00 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $4,048.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $4,948.00 | ↑ +42% |
| HORIZON | PIP | $5,201.28 | ↑ +49% |
| HORIZON | WORKERS COMP | $5,201.28 | ↑ +49% |
| HORIZON | OMNIA | $5,506.91 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $6,048.00 | ↑ +74% |
| QUALCARE | HMO | $6,256.00 | ↑ +80% |
| QUALCARE | PPO | $6,265.73 | ↑ +80% |
| AETNA | ASA | $6,314.11 | ↑ +81% |
| CIGNA | BH | $6,451.20 | ↑ +85% |
| HORIZON | SHP | $6,734.25 | ↑ +93% |
| HORIZON | HMO | $6,800.37 | ↑ +95% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,854.40 | ↑ +97% |
| HORIZON | INDEMNITY | $6,897.95 | ↑ +98% |
| AMERIHEALTH | LOCAL HMO | $6,928.59 | ↑ +99% |
| HORIZON | PPO | $6,960.84 | ↑ +100% |
| QUALCARE | WORKERS COMP | $7,096.32 | ↑ +104% |
| AMERIHEALTH | REGIONAL HMO | $7,847.88 | ↑ +125% |
| AETNA | PPO | $8,419.00 | ↑ +142% |
| AETNA | HMO | $8,419.00 | ↑ +142% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +185% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ligate leg veins open at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $268.41 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $3,531.24 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $3,439.84 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $3,531.24 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $276.31 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $347.36 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $3,483.84 – $6,932.84 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $1,117.98 – $3,892.02 |