Pr excision nail/nail matrix partial/complete permanent removal at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$442.22
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.
$1,265.00
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.
$207.46 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 | $207.46 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $227.70 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $236.56 | ↓ -47% |
| VACCN | ALL PRODUCTS | $442.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $442.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $442.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $464.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $482.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $530.67 | ↑ +20% |
| HORIZON | PIP | $815.93 | ↑ +85% |
| HORIZON | WORKERS COMP | $815.93 | ↑ +85% |
| HORIZON | OMNIA | $863.87 | ↑ +95% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $948.75 | ↑ +115% |
| QUALCARE | PPO | $982.91 | ↑ +122% |
| AETNA | ASA | $990.50 | ↑ +124% |
| CIGNA | BH | $1,012.00 | ↑ +129% |
| HORIZON | SHP | $1,056.40 | ↑ +139% |
| HORIZON | HMO | $1,066.77 | ↑ +141% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,075.25 | ↑ +143% |
| HORIZON | INDEMNITY | $1,082.08 | ↑ +145% |
| AMERIHEALTH | LOCAL HMO | $1,086.89 | ↑ +146% |
| HORIZON | PPO | $1,091.95 | ↑ +147% |
| QUALCARE | WORKERS COMP | $1,113.20 | ↑ +152% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +169% |
| AMERIHEALTH | REGIONAL HMO | $1,231.10 | ↑ +178% |
| CIGNA | HMO | $2,247.00 | ↑ +408% |
| CIGNA | PPO | $2,518.00 | ↑ +469% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +526% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +654% |
| QUALCARE | HMO | $6,256.00 | ↑ +1315% |
| AETNA | HMO | $8,419.00 | ↑ +1804% |
| AETNA | PPO | $8,419.00 | ↑ +1804% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2146% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pr excision nail/nail matrix partial/complete permanent removal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $83.24 – $873.28 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $203.53 – $896.48 |
| Community Medical Center | Toms River | $3,786.00 | $208.44 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $201.08 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $85.69 – $896.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $107.73 – $936.31 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $402.16 – $880.02 |
| Hackensack University Medical Center | Hackensack | $470.51 | $219.08 – $494.04 |