Replace socket above knee at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
not published by hospital
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.
$5,275.00
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.
$9.50 with CLOVER vs $4,553.38 with HORIZON — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $9.50 | — |
| AETNA | MEDICARE ADVANTAGE | $954.78 | — |
| AMERIHEALTH | LOCAL HMO | $1,534.50 | — |
| AMERIHEALTH | REGIONAL HMO | $1,678.51 | — |
| HORIZON | MANAGED MEDICAID | $2,361.09 | — |
| AETNA | HMO | $2,437.05 | — |
| AETNA | PPO | $2,437.05 | — |
| QUALCARE | HMO | $2,468.70 | — |
| AETNA | MANAGED MEDICAID | $2,584.75 | — |
| CIGNA | HMO | $2,611.13 | — |
| CIGNA | PPO | $2,611.13 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,637.50 | — |
| OXFORD | ALL PRODUCTS | $2,702.38 | — |
| QUALCARE | PPO | $2,716.63 | — |
| QUALCARE | WORKERS COMP | $2,716.63 | — |
| UNITED HEALTHCARE | HMO | $2,732.45 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,795.75 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,106.98 | — |
| BERGEN RISK | ALL PRODUCTS | $3,165.00 | — |
| WELLCARE | MANAGED MEDICAID | $3,286.53 | — |
| HORIZON | PIP | $3,402.38 | — |
| HORIZON | WORKERS COMP | $3,402.38 | — |
| HORIZON | OMNIA | $3,602.30 | — |
| AETNA | ASA | $4,130.33 | — |
| CIGNA | BH | $4,220.00 | — |
| HORIZON | SHP | $4,405.15 | — |
| HORIZON | HMO | $4,448.41 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,483.75 | — |
| HORIZON | INDEMNITY | $4,512.24 | — |
| HORIZON | PPO | $4,553.38 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Replace socket above knee at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $1,960.48 – $8,265.82 |
| Cooperman Barnabas Medical Center | Livingston | not published | $4,153.68 – $8,307.36 |
| Community Medical Center | Toms River | not published | $4,153.68 – $8,265.82 |
| Clara Maass Medical Center | Belleville | not published | $4,153.68 – $8,265.82 |
| Newark Beth Israel Medical Center | Newark | not published | $2,018.14 – $8,265.82 |
| Jersey City Medical Center | Jersey City | not published | $2,537.09 – $8,265.82 |
| Monmouth Medical Center | Long Branch | not published | $4,153.68 – $8,265.82 |
| Hackensack University Medical Center | Hackensack | not published | $7,067.31 – $7,067.31 |