Low cost skin substitute app at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,024.70
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.
$6,061.00
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.
$994.00 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 | $994.00 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $1,090.98 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,133.41 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -41% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,024.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,024.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,125.94 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,206.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,429.64 | ↑ +20% |
| HORIZON | WORKERS COMP | $3,909.35 | ↑ +93% |
| HORIZON | PIP | $3,909.35 | ↑ +93% |
| HORIZON | OMNIA | $4,139.06 | ↑ +104% |
| BERGEN RISK | ALL PRODUCTS | $4,545.75 | ↑ +125% |
| QUALCARE | PPO | $4,709.40 | ↑ +133% |
| AETNA | ASA | $4,745.76 | ↑ +134% |
| CIGNA | BH | $4,848.80 | ↑ +139% |
| HORIZON | SHP | $5,061.54 | ↑ +150% |
| HORIZON | HMO | $5,111.24 | ↑ +152% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,151.85 | ↑ +154% |
| HORIZON | INDEMNITY | $5,184.58 | ↑ +156% |
| AMERIHEALTH | LOCAL HMO | $5,207.61 | ↑ +157% |
| HORIZON | PPO | $5,231.86 | ↑ +158% |
| QUALCARE | WORKERS COMP | $5,333.68 | ↑ +163% |
| CIGNA | PPO | $5,448.23 | ↑ +169% |
| CIGNA | HMO | $5,448.23 | ↑ +169% |
| AMERIHEALTH | REGIONAL HMO | $5,898.57 | ↑ +191% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +201% |
| QUALCARE | HMO | $6,256.00 | ↑ +209% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +272% |
| AETNA | PPO | $8,419.00 | ↑ +316% |
| AETNA | HMO | $8,419.00 | ↑ +316% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +391% |
| KARNA | 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 | $904.81 | $72.84 – $4,104.50 |
| Community Medical Center | Toms River | $885.59 | $74.60 – $3,978.27 |
| Clara Maass Medical Center | Belleville | $1,084.80 | $71.96 – $4,083.98 |
| Newark Beth Israel Medical Center | Newark | $889.44 | $132.08 – $4,104.50 |
| Jersey City Medical Center | Jersey City | $887.30 | $78.98 – $4,286.88 |
| Monmouth Medical Center | Long Branch | $934.27 | $143.93 – $4,029.15 |
| Hackensack University Medical Center | Hackensack | $2,154.21 | $1,723.37 – $2,261.92 |
| Ocean University Medical Center | Brick | $1,999.13 | $1,829.23 – $2,398.95 |