Mastoids complete at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
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.
$442.00
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.
$58.94 with UNITED HEALTHCARE vs $388.96 with QUALCARE — 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 | $58.94 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $72.49 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $79.56 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $82.65 | ↓ -30% |
| AMERIHEALTH | LOCAL HMO | $91.50 | ↓ -22% |
| AMERIHEALTH | REGIONAL HMO | $93.08 | ↓ -21% |
| AETNA | HMO | $104.63 | ↓ -11% |
| AETNA | PPO | $104.63 | ↓ -11% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CIGNA | HMO | $166.50 | ↑ +41% |
| CIGNA | PPO | $166.50 | ↑ +41% |
| QUALCARE | HMO | $219.23 | ↑ +86% |
| HORIZON | MANAGED MEDICAID | $269.13 | ↑ +129% |
| HORIZON | PIP | $285.09 | ↑ +142% |
| HORIZON | WORKERS COMP | $285.09 | ↑ +142% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | OMNIA | $301.84 | ↑ +156% |
| BERGEN RISK | ALL PRODUCTS | $331.50 | ↑ +182% |
| QUALCARE | PPO | $343.43 | ↑ +192% |
| AETNA | ASA | $346.09 | ↑ +194% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $353.60 | ↑ +200% |
| CIGNA | BH | $353.60 | ↑ +200% |
| HORIZON | SHP | $369.11 | ↑ +214% |
| HORIZON | HMO | $372.74 | ↑ +217% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $375.70 | ↑ +219% |
| HORIZON | INDEMNITY | $378.09 | ↑ +221% |
| HORIZON | PPO | $381.53 | ↑ +224% |
| QUALCARE | WORKERS COMP | $388.96 | ↑ +230% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Mastoids complete at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $90.28 | $32.27 – $239.49 |
| Community Medical Center | Toms River | $99.75 | $40.29 – $239.49 |
| Clara Maass Medical Center | Belleville | $110.19 | $40.29 – $239.49 |
| Newark Beth Israel Medical Center | Newark | $80.40 | $33.22 – $239.49 |
| Jersey City Medical Center | Jersey City | $99.95 | $40.29 – $249.21 |
| Monmouth Medical Center | Long Branch | $105.24 | $40.29 – $239.49 |
| Hackensack University Medical Center | Hackensack | $125.23 | $36.53 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $58.94 – $166.50 |