Removal of urethra gland at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,817.53
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.
$4,893.00
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.
$802.45 with AETNA vs $10,105.00 with UNITED HEALTHCARE — 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 | $802.45 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $880.74 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $914.99 | ↓ -76% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -69% |
| CIGNA | HMO | $3,135.00 | ↓ -18% |
| HORIZON | PIP | $3,155.99 | ↓ -17% |
| HORIZON | WORKERS COMP | $3,155.99 | ↓ -17% |
| HORIZON | OMNIA | $3,341.43 | ↓ -12% |
| CIGNA | PPO | $3,508.00 | ↓ -8% |
| BERGEN RISK | ALL PRODUCTS | $3,669.75 | ↓ -4% |
| QUALCARE | PPO | $3,801.86 | ↓ -0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,817.53 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,817.53 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,817.53 | ↑ +0% |
| AETNA | ASA | $3,831.22 | ↑ +0% |
| CIGNA | BH | $3,914.40 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,008.40 | ↑ +5% |
| HORIZON | SHP | $4,086.14 | ↑ +7% |
| HORIZON | HMO | $4,126.27 | ↑ +8% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,159.05 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $4,161.10 | ↑ +9% |
| HORIZON | INDEMNITY | $4,185.47 | ↑ +10% |
| AMERIHEALTH | LOCAL HMO | $4,204.07 | ↑ +10% |
| HORIZON | PPO | $4,223.64 | ↑ +11% |
| QUALCARE | WORKERS COMP | $4,305.84 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $4,581.03 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $4,761.87 | ↑ +25% |
| QUALCARE | HMO | $6,256.00 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $8,143.00 | ↑ +113% |
| AETNA | HMO | $8,419.00 | ↑ +121% |
| AETNA | PPO | $8,419.00 | ↑ +121% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +160% |
| UNITED HEALTHCARE | HMO | $10,105.00 | ↑ +165% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Removal of urethra gland at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $108.71 – $7,538.62 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $49.80 – $7,738.94 |
| Community Medical Center | Toms River | $3,786.00 | $51.00 – $7,500.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $49.20 – $7,700.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $90.30 – $7,738.94 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $54.00 – $8,082.80 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $98.40 – $7,596.88 |
| Hackensack University Medical Center | Hackensack | $4,061.71 | $394.13 – $4,264.80 |