Removal of vein clot at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$3,483.84
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.
$8,756.00
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.
$1,189.00 with UNITED HEALTHCARE vs $13,844.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $1,435.98 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $1,576.08 | ↓ -55% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,637.37 | ↓ -53% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| HORIZON | PIP | $5,647.62 | ↑ +62% |
| HORIZON | WORKERS COMP | $5,647.62 | ↑ +62% |
| HORIZON | OMNIA | $5,979.47 | ↑ +72% |
| QUALCARE | HMO | $6,256.00 | ↑ +80% |
| BERGEN RISK | ALL PRODUCTS | $6,567.00 | ↑ +88% |
| QUALCARE | PPO | $6,803.41 | ↑ +95% |
| AETNA | ASA | $6,855.95 | ↑ +97% |
| CIGNA | BH | $7,004.80 | ↑ +101% |
| HORIZON | SHP | $7,312.14 | ↑ +110% |
| HORIZON | HMO | $7,383.93 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,442.60 | ↑ +114% |
| HORIZON | INDEMNITY | $7,489.88 | ↑ +115% |
| AMERIHEALTH | LOCAL HMO | $7,523.16 | ↑ +116% |
| HORIZON | PPO | $7,558.18 | ↑ +117% |
| QUALCARE | WORKERS COMP | $7,705.28 | ↑ +121% |
| CIGNA | PPO | $7,870.77 | ↑ +126% |
| CIGNA | HMO | $7,870.77 | ↑ +126% |
| AETNA | PPO | $8,419.00 | ↑ +142% |
| AETNA | HMO | $8,419.00 | ↑ +142% |
| AMERIHEALTH | REGIONAL HMO | $8,521.34 | ↑ +145% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +185% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +219% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +297% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of vein clot at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $342.77 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $525.67 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $538.34 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $519.34 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $352.85 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $443.59 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,038.68 – $6,932.84 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $1,420.02 – $3,892.02 |