Parotid duct diversion at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$6,547.81
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.
not published by hospital
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.
$6,547.81 with WELLCARE vs $7,857.37 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,547.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,547.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,875.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7,137.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $7,857.37 | ↑ +20% |
Visitor-reported prices
Comments
Parotid duct diversion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $255.96 – $12,930.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $710.48 – $13,273.80 |
| Community Medical Center | Toms River | $3,786.00 | $727.60 – $12,865.57 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $701.92 – $13,207.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $263.49 – $13,273.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $331.24 – $13,863.61 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,403.84 – $13,030.14 |
| Hackensack University Medical Center | Hackensack | $6,966.64 | $1,080.25 – $7,314.97 |