Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,793.38
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.
$1,729.00
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.
$283.56 with AETNA vs $10,149.00 with HORIZON — 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 | $283.56 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $311.22 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $312.95 | ↓ -83% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $323.32 | ↓ -82% |
| UNITED HEALTHCARE | HMO | $980.17 | ↓ -45% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,018.38 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $1,052.79 | ↓ -41% |
| HORIZON | PIP | $1,115.21 | ↓ -38% |
| OXFORD | ALL PRODUCTS | $1,132.67 | ↓ -37% |
| BERGEN RISK | ALL PRODUCTS | $1,296.75 | ↓ -28% |
| QUALCARE | HMO | $1,343.43 | ↓ -25% |
| QUALCARE | PPO | $1,343.43 | ↓ -25% |
| AETNA | ASA | $1,353.81 | ↓ -25% |
| CIGNA | BH | $1,383.20 | ↓ -23% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,469.65 | ↓ -18% |
| AMERIHEALTH | LOCAL HMO | $1,485.56 | ↓ -17% |
| QUALCARE | WORKERS COMP | $1,521.52 | ↓ -15% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,556.10 | ↓ -13% |
| AMERIHEALTH | REGIONAL HMO | $1,682.66 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,793.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,793.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,883.05 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $2,152.05 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +25% |
| CIGNA | PPO | $2,518.00 | ↑ +40% |
| HORIZON | OMNIA | $5,853.00 | ↑ +226% |
| HORIZON | SHP | $6,707.00 | ↑ +274% |
| HORIZON | HMO | $7,231.00 | ↑ +303% |
| HORIZON | INDEMNITY | $7,331.00 | ↑ +309% |
| HORIZON | PPO | $7,402.00 | ↑ +313% |
| AETNA | PPO | $8,419.00 | ↑ +369% |
| AETNA | HMO | $8,419.00 | ↑ +369% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +466% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $124.38 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,817.78 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $1,770.73 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,817.78 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $128.04 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $160.96 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,793.38 – $3,568.83 |
| Hackensack University Medical Center | Hackensack | $1,908.09 | $202.85 – $2,003.50 |