Refill/maint pump/resvr syst at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$233.20
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.
$553.00
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.
$90.69 with AETNA vs $10,149.00 with HORIZON — 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 | $90.69 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $99.54 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $103.41 | ↓ -56% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $233.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $233.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $233.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $233.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $244.86 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $254.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $279.85 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $313.50 | ↑ +34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $325.72 | ↑ +40% |
| HORIZON | MANAGED MEDICAID | $336.72 | ↑ +44% |
| HORIZON | PIP | $356.69 | ↑ +53% |
| OXFORD | ALL PRODUCTS | $362.27 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $414.75 | ↑ +78% |
| QUALCARE | PPO | $429.68 | ↑ +84% |
| QUALCARE | HMO | $429.68 | ↑ +84% |
| AETNA | ASA | $433.00 | ↑ +86% |
| CIGNA | BH | $442.40 | ↑ +90% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $470.05 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $475.14 | ↑ +104% |
| QUALCARE | WORKERS COMP | $486.64 | ↑ +109% |
| AETNA | HMO | $497.70 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $497.70 | ↑ +113% |
| AETNA | PPO | $497.70 | ↑ +113% |
| CIGNA | HMO | $528.83 | ↑ +127% |
| CIGNA | PPO | $528.83 | ↑ +127% |
| AMERIHEALTH | REGIONAL HMO | $538.18 | ↑ +131% |
| HORIZON | OMNIA | $5,853.00 | ↑ +2410% |
| HORIZON | SHP | $6,707.00 | ↑ +2776% |
| HORIZON | HMO | $7,231.00 | ↑ +3001% |
| HORIZON | INDEMNITY | $7,331.00 | ↑ +3044% |
| HORIZON | PPO | $7,402.00 | ↑ +3074% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +4252% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Refill/maint pump/resvr syst at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $193.51 | $61.68 – $460.52 |
| Cooperman Barnabas Medical Center | Livingston | $174.81 | $80.16 – $1,387.00 |
| Monmouth Medical Center | Long Branch | $225.58 | $80.16 – $1,387.00 |
| Hackensack University Medical Center | Hackensack | $248.12 | $198.50 – $260.53 |
| Ocean University Medical Center | Brick | $230.26 | $201.57 – $276.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $233.41 | $210.69 – $233.41 |
| Jersey Shore University Medical Center | Neptune City | $233.20 | $201.57 – $279.85 |
| Palisades Medical Center | North Bergen | $248.12 | $80.16 – $270.45 |