Proctosigmoidoscopy control bleed 45317 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,305.08
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.
?
What you pay up front if you don't use insurance.
$2,550.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$418.20 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $418.20 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $459.00 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $476.85 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↓ -33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -9% |
| VACCN | ALL PRODUCTS | $1,305.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,305.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,305.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,305.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,370.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,422.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,566.09 | ↑ +20% |
| HORIZON | PIP | $1,644.75 | ↑ +26% |
| HORIZON | WORKERS COMP | $1,644.75 | ↑ +26% |
| HORIZON | OMNIA | $1,741.40 | ↑ +33% |
| BERGEN RISK | ALL PRODUCTS | $1,912.50 | ↑ +47% |
| QUALCARE | PPO | $1,981.35 | ↑ +52% |
| AETNA | ASA | $1,996.65 | ↑ +53% |
| CIGNA | BH | $2,040.00 | ↑ +56% |
| HORIZON | SHP | $2,129.51 | ↑ +63% |
| HORIZON | HMO | $2,150.42 | ↑ +65% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,167.50 | ↑ +66% |
| HORIZON | INDEMNITY | $2,181.27 | ↑ +67% |
| AMERIHEALTH | LOCAL HMO | $2,190.96 | ↑ +68% |
| HORIZON | PPO | $2,201.16 | ↑ +69% |
| QUALCARE | WORKERS COMP | $2,244.00 | ↑ +72% |
| CIGNA | HMO | $2,247.00 | ↑ +72% |
| AMERIHEALTH | REGIONAL HMO | $2,481.66 | ↑ +90% |
| CIGNA | PPO | $2,518.00 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +367% |
| QUALCARE | HMO | $6,256.00 | ↑ +379% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +477% |
| AETNA | PPO | $8,419.00 | ↑ +545% |
| AETNA | HMO | $8,419.00 | ↑ +545% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +661% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy control bleed 45317 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $22.85 – $2,577.18 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $50.22 – $2,645.66 |
| Community Medical Center | Toms River | $3,786.00 | $51.43 – $2,564.29 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $49.61 – $2,632.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $23.52 – $2,645.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $29.57 – $2,763.23 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $99.22 – $2,597.11 |
| Hackensack University Medical Center | Hackensack | $1,388.56 | $234.21 – $1,457.98 |