Removal of eye lesion at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$2,582.26
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.
$5,645.00
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.
$925.78 with AETNA vs $10,105.00 with UNITED HEALTHCARE — 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 | $925.78 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $1,016.10 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,055.62 | ↓ -59% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -54% |
| HORIZON | MANAGED MEDICAID | $1,839.00 | ↓ -29% |
| VACCN | ALL PRODUCTS | $2,582.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,582.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,582.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,582.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,711.37 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,814.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3,098.71 | ↑ +20% |
| HORIZON | PIP | $3,641.03 | ↑ +41% |
| HORIZON | WORKERS COMP | $3,641.03 | ↑ +41% |
| HORIZON | OMNIA | $3,854.97 | ↑ +49% |
| BERGEN RISK | ALL PRODUCTS | $4,233.75 | ↑ +64% |
| QUALCARE | PPO | $4,386.17 | ↑ +70% |
| AETNA | ASA | $4,420.04 | ↑ +71% |
| CIGNA | BH | $4,516.00 | ↑ +75% |
| HORIZON | SHP | $4,714.14 | ↑ +83% |
| HORIZON | HMO | $4,760.43 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,798.25 | ↑ +86% |
| HORIZON | INDEMNITY | $4,828.73 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $4,850.18 | ↑ +88% |
| HORIZON | PPO | $4,872.76 | ↑ +89% |
| QUALCARE | WORKERS COMP | $4,967.60 | ↑ +92% |
| CIGNA | HMO | $5,025.00 | ↑ +95% |
| AMERIHEALTH | REGIONAL HMO | $5,493.71 | ↑ +113% |
| CIGNA | PPO | $5,631.00 | ↑ +118% |
| QUALCARE | HMO | $6,256.00 | ↑ +142% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +215% |
| AETNA | PPO | $8,419.00 | ↑ +226% |
| AETNA | HMO | $8,419.00 | ↑ +226% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +285% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +291% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Removal of eye lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $344.51 – $5,099.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $281.20 – $5,234.78 |
| Community Medical Center | Toms River | $3,786.00 | $287.98 – $5,073.80 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $277.82 – $5,208.61 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $354.64 – $5,234.78 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $304.92 – $5,467.39 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $555.63 – $5,138.70 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $1,029.78 – $2,884.81 |