Mometasone sinus sinuva at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$11.35
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.
$3,522.54
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.
$6.34 with CLOVER vs $3,170.29 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $6.34 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $9.65 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11.92 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12.37 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13.62 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $1,024.71 | ↑ +8928% |
| AMERIHEALTH | REGIONAL HMO | $1,120.87 | ↑ +9776% |
| WELLCARE | MEDICARE ADVANTAGE | $1,585.14 | ↑ +13866% |
| WELLCARE | MANAGED MEDICAID | $1,585.14 | ↑ +13866% |
| QUALCARE | HMO | $1,648.55 | ↑ +14425% |
| AETNA | MANAGED MEDICAID | $1,726.04 | ↑ +15107% |
| CIGNA | HMO | $1,743.66 | ↑ +15263% |
| CIGNA | PPO | $1,743.66 | ↑ +15263% |
| AMERIGROUP | MANAGED MEDICAID | $1,761.27 | ↑ +15418% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,761.27 | ↑ +15418% |
| QUALCARE | PPO | $1,814.11 | ↑ +15883% |
| QUALCARE | WORKERS COMP | $1,814.11 | ↑ +15883% |
| OXFORD | ALL PRODUCTS | $1,905.69 | ↑ +16690% |
| UNITED HEALTHCARE | HMO | $1,905.69 | ↑ +16690% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,074.78 | ↑ +18180% |
| BERGEN RISK | ALL PRODUCTS | $2,113.52 | ↑ +18521% |
| AETNA | PPO | $2,148.75 | ↑ +18832% |
| AETNA | HMO | $2,148.75 | ↑ +18832% |
| HORIZON | PIP | $2,272.04 | ↑ +19918% |
| HORIZON | WORKERS COMP | $2,272.04 | ↑ +19918% |
| HORIZON | OMNIA | $2,405.54 | ↑ +21094% |
| AETNA | ASA | $2,758.15 | ↑ +24201% |
| CIGNA | BH | $2,818.03 | ↑ +24728% |
| HORIZON | SHP | $2,941.67 | ↑ +25818% |
| HORIZON | HMO | $2,970.56 | ↑ +26072% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,994.16 | ↑ +26280% |
| HORIZON | INDEMNITY | $3,013.18 | ↑ +26448% |
| HORIZON | PPO | $3,040.66 | ↑ +26690% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,170.29 | ↑ +27832% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mometasone sinus sinuva at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $11.35 | $9.08 – $15.09 |
| Ocean University Medical Center | Brick | $11.35 | $9.65 – $14.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11.35 | $9.65 – $15.09 |
| Jersey Shore University Medical Center | Neptune City | $11.35 | $9.65 – $14.78 |
| Palisades Medical Center | North Bergen | $11.35 | $9.65 – $15.09 |
| Raritan Bay Medical Center | Perth Amboy | $11.35 | $9.65 – $22.68 |
| Riverview Medical Center | Red Bank | $11.35 | $9.65 – $22.68 |
| Southern Ocean Medical Center | Manahawkin | $11.35 | $9.65 – $14.78 |