Nrv grf mltst arm/leg >4 cm at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$7,088.41
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.
$11,328.00
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.
$1,308.00 with HORIZON vs $19,454.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,308.00 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $1,857.79 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $2,039.04 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,118.34 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -66% |
| CIGNA | HMO | $3,586.00 | ↓ -49% |
| CIGNA | PPO | $4,013.00 | ↓ -43% |
| QUALCARE | HMO | $6,256.00 | ↓ -12% |
| HORIZON | OMNIA | $6,984.00 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,088.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,088.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7,088.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,088.41 | ↑ +0% |
| HORIZON | PIP | $7,306.56 | ↑ +3% |
| HORIZON | WORKERS COMP | $7,306.56 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,442.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7,726.37 | ↑ +9% |
| HORIZON | SHP | $8,004.00 | ↑ +13% |
| AETNA | PPO | $8,419.00 | ↑ +19% |
| AETNA | HMO | $8,419.00 | ↑ +19% |
| BERGEN RISK | ALL PRODUCTS | $8,496.00 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $8,506.09 | ↑ +20% |
| HORIZON | HMO | $8,627.00 | ↑ +22% |
| HORIZON | INDEMNITY | $8,748.00 | ↑ +23% |
| QUALCARE | PPO | $8,801.86 | ↑ +24% |
| HORIZON | PPO | $8,830.00 | ↑ +25% |
| AETNA | ASA | $8,869.82 | ↑ +25% |
| CIGNA | BH | $9,062.40 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,628.80 | ↑ +36% |
| AMERIHEALTH | LOCAL HMO | $9,733.02 | ↑ +37% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +40% |
| QUALCARE | WORKERS COMP | $9,968.64 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $11,024.41 | ↑ +56% |
| OXFORD | ALL PRODUCTS | $15,567.00 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $19,454.00 | ↑ +174% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Nrv grf mltst arm/leg >4 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $698.37 – $13,997.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $930.36 – $14,369.70 |
| Community Medical Center | Toms River | $3,786.00 | $952.78 – $13,927.77 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $919.15 – $14,297.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $718.91 – $14,369.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $903.78 – $15,008.22 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,838.31 – $14,105.94 |
| Hackensack University Medical Center | Hackensack | $7,541.82 | $2,925.44 – $7,918.91 |