Mopath procedure level 9 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,000.00
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.
?
What you pay up front if you don't use insurance.
$9,900.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.30 with HORIZON vs $9,164.70 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1.30 | ↓ -100% |
| QUALCARE | HMO | $6.45 | ↓ -100% |
| HORIZON | WORKERS COMP | $8.39 | ↓ -100% |
| HORIZON | PIP | $8.39 | ↓ -100% |
| HORIZON | OMNIA | $8.88 | ↓ -100% |
| AETNA | PPO | $8.94 | ↓ -100% |
| AETNA | HMO | $8.94 | ↓ -100% |
| BERGEN RISK | ALL PRODUCTS | $9.75 | ↓ -100% |
| QUALCARE | PPO | $10.10 | ↓ -99% |
| AETNA | ASA | $10.18 | ↓ -99% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10.40 | ↓ -99% |
| CIGNA | BH | $10.40 | ↓ -99% |
| HORIZON | SHP | $10.86 | ↓ -99% |
| HORIZON | HMO | $10.96 | ↓ -99% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11.05 | ↓ -99% |
| HORIZON | INDEMNITY | $11.12 | ↓ -99% |
| AMERIHEALTH | LOCAL HMO | $11.17 | ↓ -99% |
| HORIZON | PPO | $11.22 | ↓ -99% |
| QUALCARE | WORKERS COMP | $11.44 | ↓ -99% |
| AMERIHEALTH | REGIONAL HMO | $12.65 | ↓ -99% |
| WELLCARE | MEDICARE ADVANTAGE | $2,000.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $2,000.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $2,000.00 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $2,000.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,000.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,000.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,000.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,100.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,180.00 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,400.00 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,142.00 | ↑ +57% |
| UNITED HEALTHCARE | HMO | $4,105.00 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $4,105.00 | ↑ +105% |
| CIGNA | HMO | $9,164.70 | ↑ +358% |
| CIGNA | PPO | $9,164.70 | ↑ +358% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mopath procedure level 9 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,200.00 | $940.00 – $8,155.52 |
| Cooperman Barnabas Medical Center | Livingston | $2,200.00 | $940.00 – $8,155.52 |
| Community Medical Center | Toms River | $2,200.00 | $940.00 – $8,155.52 |
| Clara Maass Medical Center | Belleville | $2,200.00 | $940.00 – $8,155.52 |
| Newark Beth Israel Medical Center | Newark | $2,200.00 | $940.00 – $8,155.52 |
| Jersey City Medical Center | Jersey City | $2,200.00 | $940.00 – $8,155.52 |
| Monmouth Medical Center | Long Branch | $2,200.00 | $940.00 – $8,155.52 |
| Hackensack University Medical Center | Hackensack | $2,000.00 | $1,600.00 – $8,980.98 |