Repair pm/icd lead sgl at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$4,028.20
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.
$11,143.00
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 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $1,827.45 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $2,005.74 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,083.74 | ↓ -48% |
| VACCN | ALL PRODUCTS | $4,028.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,028.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,028.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,028.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,229.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,390.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,833.83 | ↑ +20% |
| QUALCARE | HMO | $6,256.00 | ↑ +55% |
| HORIZON | OMNIA | $6,984.00 | ↑ +73% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $7,131.52 | ↑ +77% |
| HORIZON | PIP | $7,187.24 | ↑ +78% |
| HORIZON | WORKERS COMP | $7,187.24 | ↑ +78% |
| HORIZON | SHP | $8,004.00 | ↑ +99% |
| BERGEN RISK | ALL PRODUCTS | $8,357.25 | ↑ +107% |
| AETNA | PPO | $8,419.00 | ↑ +109% |
| AETNA | HMO | $8,419.00 | ↑ +109% |
| HORIZON | HMO | $8,627.00 | ↑ +114% |
| QUALCARE | PPO | $8,658.11 | ↑ +115% |
| AETNA | ASA | $8,724.97 | ↑ +117% |
| HORIZON | INDEMNITY | $8,748.00 | ↑ +117% |
| HORIZON | PPO | $8,830.00 | ↑ +119% |
| CIGNA | BH | $8,914.40 | ↑ +121% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,471.55 | ↑ +135% |
| AMERIHEALTH | LOCAL HMO | $9,574.07 | ↑ +138% |
| QUALCARE | WORKERS COMP | $9,805.84 | ↑ +143% |
| CIGNA | HMO | $10,016.44 | ↑ +149% |
| CIGNA | PPO | $10,016.44 | ↑ +149% |
| AMERIHEALTH | REGIONAL HMO | $10,844.37 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $11,114.00 | ↑ +176% |
| UNITED HEALTHCARE | HMO | $13,844.00 | ↑ +244% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $195.45 – $7,954.64 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $340.30 – $8,166.00 |
| Community Medical Center | Toms River | $3,786.00 | $348.50 – $7,914.87 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $336.20 – $8,125.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $201.20 – $8,166.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $252.94 – $8,528.86 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $672.40 – $8,016.12 |
| Hackensack University Medical Center | Hackensack | $4,285.86 | $818.15 – $4,541.28 |