Rmvl icd gen w/rplc icd gen mlt lead sys at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$35,487.68
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.
$51,396.00
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.
$8,428.94 with AETNA vs $135,176.00 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 | $8,428.94 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $9,251.28 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,611.05 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $30,272.24 | ↓ -15% |
| HORIZON | MANAGED MEDICAID | $31,295.02 | ↓ -12% |
| HORIZON | WORKERS COMP | $33,150.42 | ↓ -7% |
| HORIZON | PIP | $33,150.42 | ↓ -7% |
| HORIZON | OMNIA | $35,098.33 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $35,487.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $35,487.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35,487.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $35,487.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $37,262.06 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $38,547.00 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $38,681.57 | ↑ +9% |
| QUALCARE | PPO | $39,934.69 | ↑ +13% |
| QUALCARE | HMO | $39,934.69 | ↑ +13% |
| AETNA | ASA | $40,243.07 | ↑ +13% |
| CIGNA | BH | $41,116.80 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $42,585.22 | ↑ +20% |
| HORIZON | SHP | $42,920.80 | ↑ +21% |
| HORIZON | HMO | $43,342.25 | ↑ +22% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $43,686.60 | ↑ +23% |
| HORIZON | INDEMNITY | $43,964.14 | ↑ +24% |
| AMERIHEALTH | LOCAL HMO | $44,159.44 | ↑ +24% |
| HORIZON | PPO | $44,365.03 | ↑ +25% |
| QUALCARE | WORKERS COMP | $45,228.48 | ↑ +27% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $46,256.40 | ↑ +30% |
| AETNA | PPO | $46,256.40 | ↑ +30% |
| AETNA | HMO | $46,256.40 | ↑ +30% |
| CIGNA | HMO | $49,149.99 | ↑ +38% |
| CIGNA | PPO | $49,149.99 | ↑ +38% |
| AMERIHEALTH | REGIONAL HMO | $50,018.59 | ↑ +41% |
| OXFORD | ALL PRODUCTS | $133,135.00 | ↑ +275% |
| UNITED HEALTHCARE | HMO | $135,176.00 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $201.67 – $70,078.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $35,970.53 – $71,941.06 |
| Community Medical Center | Toms River | $3,786.00 | $35,039.46 – $69,728.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $35,970.53 – $71,581.35 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $207.61 – $71,941.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $260.99 – $75,137.70 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $35,487.68 – $70,620.48 |
| Hackensack University Medical Center | Hackensack | $37,757.64 | $842.67 – $39,645.52 |