Repair eyelid defect at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,173.97
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.
$4,454.00
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.
$730.46 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $730.46 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $801.72 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $806.17 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $832.90 | ↓ -80% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -72% |
| HORIZON | MANAGED MEDICAID | $1,839.00 | ↓ -56% |
| HORIZON | WORKERS COMP | $2,872.83 | ↓ -31% |
| HORIZON | PIP | $2,872.83 | ↓ -31% |
| HORIZON | OMNIA | $3,041.64 | ↓ -27% |
| BERGEN RISK | ALL PRODUCTS | $3,340.50 | ↓ -20% |
| QUALCARE | PPO | $3,460.76 | ↓ -17% |
| AETNA | ASA | $3,487.48 | ↓ -16% |
| CIGNA | BH | $3,563.20 | ↓ -15% |
| HORIZON | SHP | $3,719.54 | ↓ -11% |
| HORIZON | HMO | $3,756.06 | ↓ -10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,785.90 | ↓ -9% |
| HORIZON | INDEMNITY | $3,809.95 | ↓ -9% |
| AMERIHEALTH | LOCAL HMO | $3,826.88 | ↓ -8% |
| HORIZON | PPO | $3,844.69 | ↓ -8% |
| QUALCARE | WORKERS COMP | $3,919.52 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $4,173.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,173.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,173.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,173.97 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $4,334.63 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,382.67 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $5,008.76 | ↑ +20% |
| CIGNA | HMO | $5,025.00 | ↑ +20% |
| CIGNA | PPO | $5,631.00 | ↑ +35% |
| QUALCARE | HMO | $6,256.00 | ↑ +50% |
| AETNA | HMO | $8,419.00 | ↑ +102% |
| AETNA | PPO | $8,419.00 | ↑ +102% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +138% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +166% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +232% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Repair eyelid defect at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $255.49 – $8,242.50 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $349.11 – $8,461.52 |
| Community Medical Center | Toms River | $3,786.00 | $357.53 – $8,201.29 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $344.91 – $8,419.21 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $263.00 – $8,461.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $330.63 – $8,837.51 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $689.82 – $8,306.20 |
| Hackensack University Medical Center | Hackensack | $4,440.96 | $1,078.94 – $4,663.00 |