Prgrmg eval implantable dfb at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$41.27
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.
$345.00
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.
$41.27 with WELLCARE vs $335.75 with AMERIHEALTH — 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $41.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $41.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $49.53 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $56.58 | ↑ +37% |
| CLOVER | MEDICARE ADVANTAGE | $62.10 | ↑ +50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $64.52 | ↑ +56% |
| UNITED HEALTHCARE | HMO | $195.58 | ↑ +374% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $203.21 | ↑ +392% |
| HORIZON | MANAGED MEDICAID | $210.07 | ↑ +409% |
| OXFORD | ALL PRODUCTS | $217.14 | ↑ +426% |
| HORIZON | PIP | $222.53 | ↑ +439% |
| HORIZON | WORKERS COMP | $222.53 | ↑ +439% |
| HORIZON | OMNIA | $235.60 | ↑ +471% |
| BERGEN RISK | ALL PRODUCTS | $258.75 | ↑ +527% |
| QUALCARE | HMO | $268.07 | ↑ +550% |
| QUALCARE | PPO | $268.07 | ↑ +550% |
| AETNA | ASA | $270.14 | ↑ +555% |
| CIGNA | BH | $276.00 | ↑ +569% |
| HORIZON | SHP | $288.11 | ↑ +598% |
| HORIZON | HMO | $290.94 | ↑ +605% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $293.25 | ↑ +611% |
| HORIZON | INDEMNITY | $295.11 | ↑ +615% |
| AMERIHEALTH | LOCAL HMO | $296.42 | ↑ +618% |
| HORIZON | PPO | $297.80 | ↑ +622% |
| QUALCARE | WORKERS COMP | $303.60 | ↑ +636% |
| AETNA | PPO | $310.50 | ↑ +652% |
| AETNA | HMO | $310.50 | ↑ +652% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $310.50 | ↑ +652% |
| CIGNA | HMO | $329.92 | ↑ +699% |
| CIGNA | PPO | $329.92 | ↑ +699% |
| AMERIHEALTH | REGIONAL HMO | $335.75 | ↑ +714% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $100.17 | $40.75 – $81.09 |
| Newark Beth Israel Medical Center | Newark | $100.60 | $41.84 – $83.68 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $162.94 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $162.94 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $170.01 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $41.31 – $170.01 |