Revasc lithotr-stent tib/per at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$19,875.58
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.
$54,381.00
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.
$2,379.00 with UNITED HEALTHCARE vs $52,923.59 with AMERIHEALTH — 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 | $2,379.00 | ↓ -88% |
| HORIZON | OMNIA | $6,984.00 | ↓ -65% |
| HORIZON | SHP | $8,004.00 | ↓ -60% |
| AETNA | HMO | $8,419.00 | ↓ -58% |
| AETNA | PPO | $8,419.00 | ↓ -58% |
| HORIZON | HMO | $8,627.00 | ↓ -57% |
| HORIZON | INDEMNITY | $8,748.00 | ↓ -56% |
| HORIZON | PPO | $8,830.00 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $8,918.48 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $9,788.58 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $10,169.25 | ↓ -49% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -40% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -21% |
| WELLCARE | MANAGED MEDICAID | $19,875.58 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,875.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,869.35 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $21,455.00 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $21,664.38 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $23,850.69 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $26,868.00 | ↑ +35% |
| HORIZON | MANAGED MEDICAID | $33,112.59 | ↑ +67% |
| HORIZON | PIP | $35,075.75 | ↑ +76% |
| HORIZON | WORKERS COMP | $35,075.75 | ↑ +76% |
| QUALCARE | HMO | $42,254.04 | ↑ +113% |
| QUALCARE | PPO | $42,254.04 | ↑ +113% |
| AETNA | ASA | $42,580.32 | ↑ +114% |
| CIGNA | BH | $43,504.80 | ↑ +119% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $46,223.85 | ↑ +133% |
| AMERIHEALTH | LOCAL HMO | $46,724.16 | ↑ +135% |
| QUALCARE | WORKERS COMP | $47,855.28 | ↑ +141% |
| CIGNA | HMO | $52,004.55 | ↑ +162% |
| CIGNA | PPO | $52,004.55 | ↑ +162% |
| AMERIHEALTH | REGIONAL HMO | $52,923.59 | ↑ +166% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lithotr-stent tib/per at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,366.46 | $19,624.54 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $4,929.42 | $20,146.00 – $40,292.00 |
| Community Medical Center | Toms River | $4,824.74 | $19,624.54 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $2,447.66 | $20,146.00 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,845.68 | $20,146.00 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $4,834.05 | $21,146.91 – $42,082.35 |
| Monmouth Medical Center | Long Branch | $5,089.94 | $19,875.58 – $39,552.40 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $16,917.53 – $22,204.26 |