Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$219.93
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.
$671.00
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.
$110.04 with AETNA vs $590.48 with QUALCARE — 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 | $110.04 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $120.78 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.48 | ↓ -43% |
| VACCN | ALL PRODUCTS | $219.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $219.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $230.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $239.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $263.92 | ↑ +20% |
| QUALCARE | HMO | $368.00 | ↑ +67% |
| UNITED HEALTHCARE | HMO | $380.39 | ↑ +73% |
| HORIZON | PIP | $432.80 | ↑ +97% |
| HORIZON | WORKERS COMP | $432.80 | ↑ +97% |
| OXFORD | ALL PRODUCTS | $439.57 | ↑ +100% |
| QUALCARE | PPO | $521.37 | ↑ +137% |
| AETNA | ASA | $525.39 | ↑ +139% |
| CIGNA | BH | $536.80 | ↑ +144% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $570.35 | ↑ +159% |
| QUALCARE | WORKERS COMP | $590.48 | ↑ +168% |
| AETNA | HMO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | SHP | not published by hospital | — |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $219.42 | $52.36 – $434.32 |
| Cooperman Barnabas Medical Center | Livingston | $205.11 | $64.45 – $445.86 |
| Community Medical Center | Toms River | $242.45 | $64.45 – $432.15 |
| Clara Maass Medical Center | Belleville | $170.85 | $37.00 – $443.63 |
| Newark Beth Israel Medical Center | Newark | $201.63 | $53.90 – $445.86 |
| Jersey City Medical Center | Jersey City | $242.91 | $64.45 – $465.66 |
| Monmouth Medical Center | Long Branch | $255.77 | $64.45 – $437.66 |
| Hackensack University Medical Center | Hackensack | $234.00 | $58.58 – $245.70 |