Partial removal finger bone at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,771.43
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.
$3,211.00
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.
$526.60 with AETNA vs $9,933.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $526.60 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $577.98 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $600.46 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| HORIZON | MANAGED MEDICAID | $1,308.00 | ↓ -26% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| HORIZON | PIP | $2,071.10 | ↑ +17% |
| HORIZON | WORKERS COMP | $2,071.10 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| HORIZON | OMNIA | $2,192.79 | ↑ +24% |
| BERGEN RISK | ALL PRODUCTS | $2,408.25 | ↑ +36% |
| QUALCARE | PPO | $2,494.95 | ↑ +41% |
| AETNA | ASA | $2,514.21 | ↑ +42% |
| CIGNA | BH | $2,568.80 | ↑ +45% |
| HORIZON | SHP | $2,681.51 | ↑ +51% |
| HORIZON | HMO | $2,707.84 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,729.35 | ↑ +54% |
| HORIZON | INDEMNITY | $2,746.69 | ↑ +55% |
| AMERIHEALTH | LOCAL HMO | $2,758.89 | ↑ +56% |
| HORIZON | PPO | $2,771.74 | ↑ +56% |
| QUALCARE | WORKERS COMP | $2,825.68 | ↑ +60% |
| AMERIHEALTH | REGIONAL HMO | $3,124.95 | ↑ +76% |
| CIGNA | HMO | $3,586.00 | ↑ +102% |
| CIGNA | PPO | $4,013.00 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +244% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +325% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Partial removal finger bone at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $231.94 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $317.36 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $325.01 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $313.54 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $238.76 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $300.15 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $627.07 – $3,525.15 |
| Hackensack University Medical Center | Hackensack | $1,884.74 | $977.93 – $1,978.98 |