Low cost skin substitute app at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$2,251.00
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.
$369.16 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $369.16 | — |
| CLOVER | MEDICARE ADVANTAGE | $405.18 | — |
| AETNA | MEDICARE ADVANTAGE | $407.43 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $420.94 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | — |
| HORIZON | WORKERS COMP | $1,451.90 | — |
| HORIZON | PIP | $1,451.90 | — |
| HORIZON | OMNIA | $1,537.21 | — |
| HORIZON | MANAGED MEDICAID | $1,613.00 | — |
| BERGEN RISK | ALL PRODUCTS | $1,688.25 | — |
| QUALCARE | PPO | $1,749.03 | — |
| AETNA | ASA | $1,762.53 | — |
| CIGNA | BH | $1,800.80 | — |
| HORIZON | SHP | $1,879.81 | — |
| HORIZON | HMO | $1,898.27 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,913.35 | — |
| HORIZON | INDEMNITY | $1,925.51 | — |
| AMERIHEALTH | LOCAL HMO | $1,934.06 | — |
| HORIZON | PPO | $1,943.06 | — |
| QUALCARE | WORKERS COMP | $1,980.88 | — |
| AMERIHEALTH | REGIONAL HMO | $2,190.67 | — |
| OXFORD | ALL PRODUCTS | $2,768.00 | — |
| UNITED HEALTHCARE | HMO | $3,336.00 | — |
| QUALCARE | HMO | $6,256.00 | — |
| AETNA | HMO | $8,419.00 | — |
| AETNA | PPO | $8,419.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| CIGNA | PPO | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Low cost skin substitute app at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $489.70 | $6.13 – $6.13 |
| Community Medical Center | Toms River | $383.48 | $6.27 – $6.27 |
| Clara Maass Medical Center | Belleville | $245.24 | $6.05 – $6.05 |
| Newark Beth Israel Medical Center | Newark | $481.38 | $11.11 – $11.11 |
| Jersey City Medical Center | Jersey City | $384.22 | $6.64 – $6.64 |
| Monmouth Medical Center | Long Branch | $404.56 | $12.10 – $12.10 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $202.08 | $5.83 – $5.83 |
| Monmouth Medical Center Southern Campus | Lakewood | $439.50 | $15.09 – $15.09 |