Nsl/sinus endoscopy surg dcr at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,080.94
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.
$6,643.00
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.
$1,089.45 with AETNA vs $10,105.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,089.45 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,195.74 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $1,202.38 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,242.24 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -60% |
| VACCN | ALL PRODUCTS | $4,080.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,080.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| HORIZON | PIP | $4,284.74 | ↑ +5% |
| HORIZON | WORKERS COMP | $4,284.74 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,284.98 | ↑ +5% |
| CIGNA | HMO | $4,412.00 | ↑ +8% |
| HORIZON | OMNIA | $4,536.50 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $4,897.13 | ↑ +20% |
| CIGNA | PPO | $4,943.00 | ↑ +21% |
| BERGEN RISK | ALL PRODUCTS | $4,982.25 | ↑ +22% |
| QUALCARE | PPO | $5,161.61 | ↑ +26% |
| AETNA | ASA | $5,201.47 | ↑ +27% |
| CIGNA | BH | $5,314.40 | ↑ +30% |
| HORIZON | SHP | $5,547.57 | ↑ +36% |
| HORIZON | HMO | $5,602.04 | ↑ +37% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,646.55 | ↑ +38% |
| HORIZON | INDEMNITY | $5,682.42 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $5,707.67 | ↑ +40% |
| HORIZON | PPO | $5,734.24 | ↑ +41% |
| QUALCARE | WORKERS COMP | $5,845.84 | ↑ +43% |
| QUALCARE | HMO | $6,256.00 | ↑ +53% |
| AMERIHEALTH | REGIONAL HMO | $6,464.97 | ↑ +58% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +100% |
| AETNA | HMO | $8,419.00 | ↑ +106% |
| AETNA | PPO | $8,419.00 | ↑ +106% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +148% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nsl/sinus endoscopy surg dcr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $309.22 – $8,058.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $571.24 – $8,272.92 |
| Community Medical Center | Toms River | $3,786.00 | $585.00 – $8,018.49 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $564.36 – $8,231.56 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $318.32 – $8,272.92 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $400.17 – $8,640.52 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,128.71 – $8,121.07 |
| Hackensack University Medical Center | Hackensack | $4,341.97 | $1,301.84 – $4,559.07 |