Mnpj of tmj w/anesth at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,639.57
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.
$3,809.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $624.68 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $685.62 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $712.28 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,639.57 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,639.57 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,639.57 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,639.57 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,721.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,787.13 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,967.48 | ↑ +20% |
| HORIZON | PIP | $2,456.81 | ↑ +50% |
| HORIZON | WORKERS COMP | $2,456.81 | ↑ +50% |
| HORIZON | OMNIA | $2,601.17 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $2,856.75 | ↑ +74% |
| QUALCARE | PPO | $2,959.59 | ↑ +81% |
| AETNA | ASA | $2,982.45 | ↑ +82% |
| CIGNA | BH | $3,047.20 | ↑ +86% |
| HORIZON | SHP | $3,180.90 | ↑ +94% |
| HORIZON | HMO | $3,212.13 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,237.65 | ↑ +97% |
| HORIZON | INDEMNITY | $3,258.22 | ↑ +99% |
| AMERIHEALTH | LOCAL HMO | $3,272.69 | ↑ +100% |
| HORIZON | PPO | $3,287.93 | ↑ +101% |
| QUALCARE | WORKERS COMP | $3,351.92 | ↑ +104% |
| AMERIHEALTH | REGIONAL HMO | $3,706.92 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +272% |
| QUALCARE | HMO | $6,256.00 | ↑ +282% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +359% |
| AETNA | PPO | $8,419.00 | ↑ +413% |
| AETNA | HMO | $8,419.00 | ↑ +413% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +506% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mnpj of tmj w/anesth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $197.18 – $3,237.72 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,661.88 – $3,323.76 |
| Community Medical Center | Toms River | $3,786.00 | $1,618.86 – $3,221.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,661.88 – $3,307.14 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $202.98 – $3,323.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $255.17 – $3,471.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,639.57 – $3,262.74 |
| Hackensack University Medical Center | Hackensack | $1,744.44 | $517.33 – $1,831.67 |