Place duod/jej tube perc at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,099.70
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.
$5,114.00
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.
$838.70 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 | $838.70 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $920.52 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $956.32 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -23% |
| VACCN | ALL PRODUCTS | $2,099.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,099.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,099.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,204.69 | ↑ +5% |
| CIGNA | HMO | $2,247.00 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2,288.68 | ↑ +9% |
| CIGNA | PPO | $2,518.00 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $2,519.64 | ↑ +20% |
| HORIZON | PIP | $3,298.53 | ↑ +57% |
| HORIZON | WORKERS COMP | $3,298.53 | ↑ +57% |
| HORIZON | OMNIA | $3,492.35 | ↑ +66% |
| BERGEN RISK | ALL PRODUCTS | $3,835.50 | ↑ +83% |
| QUALCARE | PPO | $3,973.58 | ↑ +89% |
| AETNA | ASA | $4,004.26 | ↑ +91% |
| CIGNA | BH | $4,091.20 | ↑ +95% |
| HORIZON | SHP | $4,270.70 | ↑ +103% |
| HORIZON | HMO | $4,312.64 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,346.90 | ↑ +107% |
| HORIZON | INDEMNITY | $4,374.52 | ↑ +108% |
| AMERIHEALTH | LOCAL HMO | $4,393.95 | ↑ +109% |
| HORIZON | PPO | $4,414.40 | ↑ +110% |
| QUALCARE | WORKERS COMP | $4,500.32 | ↑ +114% |
| AMERIHEALTH | REGIONAL HMO | $4,976.94 | ↑ +137% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +190% |
| QUALCARE | HMO | $6,256.00 | ↑ +198% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +258% |
| AETNA | PPO | $8,419.00 | ↑ +301% |
| AETNA | HMO | $8,419.00 | ↑ +301% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +373% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Place duod/jej tube perc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $492.12 – $4,146.36 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $944.95 – $4,256.54 |
| Community Medical Center | Toms River | $3,786.00 | $944.95 – $4,125.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $944.95 – $4,235.26 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $506.59 – $4,256.54 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $636.86 – $4,445.68 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $944.95 – $4,178.40 |
| Hackensack University Medical Center | Hackensack | $2,234.01 | $497.04 – $2,345.71 |