Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$778.78
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.
$2,168.00
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.
$355.55 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 | $355.55 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $390.24 | ↓ -50% |
| AETNA | MEDICARE ADVANTAGE | $392.41 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $405.42 | ↓ -48% |
| VACCN | ALL PRODUCTS | $778.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $778.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $817.71 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $934.53 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $1,229.04 | ↑ +58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,276.95 | ↑ +64% |
| HORIZON | MANAGED MEDICAID | $1,320.10 | ↑ +70% |
| HORIZON | PIP | $1,398.36 | ↑ +80% |
| OXFORD | ALL PRODUCTS | $1,420.26 | ↑ +82% |
| BERGEN RISK | ALL PRODUCTS | $1,626.00 | ↑ +109% |
| QUALCARE | PPO | $1,684.54 | ↑ +116% |
| QUALCARE | HMO | $1,684.54 | ↑ +116% |
| AETNA | ASA | $1,697.54 | ↑ +118% |
| CIGNA | BH | $1,734.40 | ↑ +123% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,842.80 | ↑ +137% |
| AMERIHEALTH | LOCAL HMO | $1,862.75 | ↑ +139% |
| QUALCARE | WORKERS COMP | $1,907.84 | ↑ +145% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,951.20 | ↑ +151% |
| AMERIHEALTH | REGIONAL HMO | $2,109.90 | ↑ +171% |
| CIGNA | HMO | $2,247.00 | ↑ +189% |
| CIGNA | PPO | $2,518.00 | ↑ +223% |
| HORIZON | OMNIA | $5,853.00 | ↑ +652% |
| HORIZON | SHP | $6,707.00 | ↑ +761% |
| HORIZON | HMO | $7,231.00 | ↑ +829% |
| HORIZON | INDEMNITY | $7,331.00 | ↑ +841% |
| HORIZON | PPO | $7,402.00 | ↑ +850% |
| AETNA | PPO | $8,419.00 | ↑ +981% |
| AETNA | HMO | $8,419.00 | ↑ +981% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1203% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $189.61 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $789.37 – $1,578.74 |
| Community Medical Center | Toms River | $3,786.00 | $768.94 – $1,530.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $789.37 – $1,570.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $195.18 – $1,578.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $245.37 – $1,648.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $778.78 – $1,549.77 |
| Hackensack University Medical Center | Hackensack | $828.59 | $173.29 – $870.02 |