Remove eyelid lesions at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$330.87
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.
$1,444.00
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.
$236.82 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 | $236.82 | ↓ -28% |
| CLOVER | MEDICARE ADVANTAGE | $259.92 | ↓ -21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $270.03 | ↓ -18% |
| VACCN | ALL PRODUCTS | $330.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $330.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $347.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $360.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $397.05 | ↑ +20% |
| HORIZON | PIP | $931.38 | ↑ +181% |
| HORIZON | WORKERS COMP | $931.38 | ↑ +181% |
| HORIZON | OMNIA | $986.11 | ↑ +198% |
| BERGEN RISK | ALL PRODUCTS | $1,083.00 | ↑ +227% |
| QUALCARE | PPO | $1,121.99 | ↑ +239% |
| AETNA | ASA | $1,130.65 | ↑ +242% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↑ +245% |
| CIGNA | BH | $1,155.20 | ↑ +249% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +259% |
| HORIZON | SHP | $1,205.88 | ↑ +264% |
| HORIZON | HMO | $1,217.73 | ↑ +268% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,227.40 | ↑ +271% |
| HORIZON | INDEMNITY | $1,235.20 | ↑ +273% |
| AMERIHEALTH | LOCAL HMO | $1,240.68 | ↑ +275% |
| HORIZON | PPO | $1,246.46 | ↑ +277% |
| QUALCARE | WORKERS COMP | $1,270.72 | ↑ +284% |
| AMERIHEALTH | REGIONAL HMO | $1,405.30 | ↑ +325% |
| CIGNA | HMO | $2,247.00 | ↑ +579% |
| CIGNA | PPO | $2,518.00 | ↑ +661% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +737% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +908% |
| QUALCARE | HMO | $6,256.00 | ↑ +1791% |
| AETNA | HMO | $8,419.00 | ↑ +2445% |
| AETNA | PPO | $8,419.00 | ↑ +2445% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2902% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Remove eyelid lesions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $108.05 – $650.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $104.24 – $667.41 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $107.70 – $670.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $114.41 – $700.56 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $208.48 – $658.43 |
| Hackensack University Medical Center | Hackensack | $352.04 | $281.63 – $369.64 |
| Ocean University Medical Center | Brick | $326.69 | $298.93 – $392.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $127.12 – $349.09 |