Low cost skin substitute app at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$677.54
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.
$2,296.00
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.
$376.54 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 | $376.54 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $413.28 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $429.35 | ↓ -37% |
| WELLCARE | MANAGED MEDICAID | $677.54 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $677.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $711.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $738.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $813.05 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +75% |
| HORIZON | WORKERS COMP | $1,480.92 | ↑ +119% |
| HORIZON | PIP | $1,480.92 | ↑ +119% |
| HORIZON | OMNIA | $1,567.94 | ↑ +131% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +138% |
| BERGEN RISK | ALL PRODUCTS | $1,722.00 | ↑ +154% |
| QUALCARE | PPO | $1,783.99 | ↑ +163% |
| AETNA | ASA | $1,797.77 | ↑ +165% |
| CIGNA | BH | $1,836.80 | ↑ +171% |
| HORIZON | SHP | $1,917.39 | ↑ +183% |
| HORIZON | HMO | $1,936.22 | ↑ +186% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,951.60 | ↑ +188% |
| HORIZON | INDEMNITY | $1,964.00 | ↑ +190% |
| AMERIHEALTH | LOCAL HMO | $1,972.72 | ↑ +191% |
| HORIZON | PPO | $1,981.91 | ↑ +193% |
| QUALCARE | WORKERS COMP | $2,020.48 | ↑ +198% |
| AMERIHEALTH | REGIONAL HMO | $2,234.47 | ↑ +230% |
| CIGNA | HMO | $2,247.00 | ↑ +232% |
| CIGNA | PPO | $2,518.00 | ↑ +272% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +309% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +392% |
| QUALCARE | HMO | $6,256.00 | ↑ +823% |
| AETNA | PPO | $8,419.00 | ↑ +1143% |
| AETNA | HMO | $8,419.00 | ↑ +1143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1366% |
| 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 | $1,523.34 | $35.99 – $1,373.52 |
| Community Medical Center | Toms River | $1,172.01 | $36.86 – $1,331.27 |
| Clara Maass Medical Center | Belleville | $1,253.86 | $35.56 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $1,497.46 | $65.26 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $1,174.27 | $39.02 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $1,236.43 | $71.11 – $1,348.30 |
| Hackensack University Medical Center | Hackensack | $720.88 | $576.70 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $612.13 – $802.78 |