Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm 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.
$3,670.00
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.
$601.88 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 | $601.88 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $660.60 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $686.29 | ↓ -62% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -34% |
| VACCN | ALL PRODUCTS | $1,793.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,793.38 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,883.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,954.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,152.05 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +25% |
| HORIZON | PIP | $2,367.15 | ↑ +32% |
| HORIZON | WORKERS COMP | $2,367.15 | ↑ +32% |
| HORIZON | OMNIA | $2,506.24 | ↑ +40% |
| CIGNA | PPO | $2,518.00 | ↑ +40% |
| BERGEN RISK | ALL PRODUCTS | $2,752.50 | ↑ +53% |
| QUALCARE | PPO | $2,851.59 | ↑ +59% |
| AETNA | ASA | $2,873.61 | ↑ +60% |
| CIGNA | BH | $2,936.00 | ↑ +64% |
| HORIZON | SHP | $3,064.82 | ↑ +71% |
| HORIZON | HMO | $3,094.91 | ↑ +73% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,119.50 | ↑ +74% |
| HORIZON | INDEMNITY | $3,139.32 | ↑ +75% |
| AMERIHEALTH | LOCAL HMO | $3,153.26 | ↑ +76% |
| HORIZON | PPO | $3,167.94 | ↑ +77% |
| QUALCARE | WORKERS COMP | $3,229.60 | ↑ +80% |
| AMERIHEALTH | REGIONAL HMO | $3,571.64 | ↑ +99% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +240% |
| QUALCARE | HMO | $6,256.00 | ↑ +249% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +320% |
| AETNA | PPO | $8,419.00 | ↑ +369% |
| AETNA | HMO | $8,419.00 | ↑ +369% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +454% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $116.44 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $111.55 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $114.24 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $110.21 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $119.87 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $120.96 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $220.42 – $3,568.83 |
| Hackensack University Medical Center | Hackensack | $1,908.09 | $357.74 – $2,003.50 |