Pr removal drug delivery implant at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$441.68
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.
$1,209.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $198.28 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $217.62 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $226.08 | ↓ -49% |
| WELLCARE | MEDICARE ADVANTAGE | $441.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $441.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $441.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $441.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $463.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $481.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $530.02 | ↑ +20% |
| HORIZON | PIP | $779.81 | ↑ +77% |
| HORIZON | WORKERS COMP | $779.81 | ↑ +77% |
| HORIZON | OMNIA | $825.63 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $906.75 | ↑ +105% |
| QUALCARE | PPO | $939.39 | ↑ +113% |
| AETNA | ASA | $946.65 | ↑ +114% |
| CIGNA | BH | $967.20 | ↑ +119% |
| HORIZON | SHP | $1,009.64 | ↑ +129% |
| HORIZON | HMO | $1,019.55 | ↑ +131% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,027.65 | ↑ +133% |
| HORIZON | INDEMNITY | $1,034.18 | ↑ +134% |
| AMERIHEALTH | LOCAL HMO | $1,038.77 | ↑ +135% |
| HORIZON | PPO | $1,043.61 | ↑ +136% |
| QUALCARE | WORKERS COMP | $1,063.92 | ↑ +141% |
| AMERIHEALTH | REGIONAL HMO | $1,176.60 | ↑ +166% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +169% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +265% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +527% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +655% |
| QUALCARE | HMO | $6,256.00 | ↑ +1316% |
| AETNA | PPO | $8,419.00 | ↑ +1806% |
| AETNA | HMO | $8,419.00 | ↑ +1806% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2149% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pr removal drug delivery implant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $205.58 – $872.20 |
| Community Medical Center | Toms River | $3,786.00 | $170.00 – $867.84 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $164.00 – $890.90 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $211.63 – $895.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $180.00 – $935.16 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $328.00 – $878.94 |
| Hackensack University Medical Center | Hackensack | $469.93 | $153.25 – $493.43 |
| Ocean University Medical Center | Brick | $436.10 | $149.37 – $523.32 |