Remove eyelid lesion at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,072.04
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.
$1,771.00
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.
$290.44 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 | $290.44 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $318.78 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $320.55 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $331.18 | ↓ -69% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,072.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,072.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,072.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,072.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,125.64 | ↑ +5% |
| HORIZON | PIP | $1,142.30 | ↑ +7% |
| HORIZON | WORKERS COMP | $1,142.30 | ↑ +7% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +11% |
| HORIZON | OMNIA | $1,209.42 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $1,286.45 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,308.00 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $1,328.25 | ↑ +24% |
| QUALCARE | PPO | $1,376.07 | ↑ +28% |
| AETNA | ASA | $1,386.69 | ↑ +29% |
| CIGNA | BH | $1,416.80 | ↑ +32% |
| HORIZON | SHP | $1,478.96 | ↑ +38% |
| HORIZON | HMO | $1,493.48 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,505.35 | ↑ +40% |
| HORIZON | INDEMNITY | $1,514.91 | ↑ +41% |
| AMERIHEALTH | LOCAL HMO | $1,521.64 | ↑ +42% |
| HORIZON | PPO | $1,528.73 | ↑ +43% |
| QUALCARE | WORKERS COMP | $1,558.48 | ↑ +45% |
| AMERIHEALTH | REGIONAL HMO | $1,723.54 | ↑ +61% |
| CIGNA | HMO | $2,247.00 | ↑ +110% |
| CIGNA | PPO | $2,518.00 | ↑ +135% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +469% |
| QUALCARE | HMO | $6,256.00 | ↑ +484% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +602% |
| AETNA | HMO | $8,419.00 | ↑ +685% |
| AETNA | PPO | $8,419.00 | ↑ +685% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +827% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Remove eyelid lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $28.93 – $2,117.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $41.83 – $2,173.24 |
| Community Medical Center | Toms River | $3,786.00 | $42.84 – $2,106.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $41.33 – $2,162.37 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $29.78 – $2,173.24 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $37.44 – $2,269.81 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $82.66 – $2,133.36 |
| Hackensack University Medical Center | Hackensack | $1,140.61 | $336.83 – $1,197.64 |