Rmvl icd gen w/rplc icd gen sgl lead sys at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$24,844.79
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.
$48,525.00
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.
$7,958.10 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 | $7,958.10 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $8,734.50 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,074.18 | ↓ -63% |
| WELLCARE | MANAGED MEDICAID | $24,844.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $24,844.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $24,844.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $24,844.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $26,087.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $27,080.82 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $28,581.23 | ↑ +15% |
| HORIZON | MANAGED MEDICAID | $29,546.87 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $29,813.75 | ↑ +20% |
| HORIZON | PIP | $31,298.63 | ↑ +26% |
| HORIZON | WORKERS COMP | $31,298.63 | ↑ +26% |
| HORIZON | OMNIA | $33,137.72 | ↑ +33% |
| BERGEN RISK | ALL PRODUCTS | $36,393.75 | ↑ +46% |
| QUALCARE | PPO | $37,703.93 | ↑ +52% |
| QUALCARE | HMO | $37,703.93 | ↑ +52% |
| AETNA | ASA | $37,995.08 | ↑ +53% |
| CIGNA | BH | $38,820.00 | ↑ +56% |
| HORIZON | SHP | $40,523.23 | ↑ +63% |
| HORIZON | HMO | $40,921.13 | ↑ +65% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $41,246.25 | ↑ +66% |
| HORIZON | INDEMNITY | $41,508.29 | ↑ +67% |
| AMERIHEALTH | LOCAL HMO | $41,692.68 | ↑ +68% |
| HORIZON | PPO | $41,886.78 | ↑ +69% |
| QUALCARE | WORKERS COMP | $42,702.00 | ↑ +72% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $43,672.50 | ↑ +76% |
| AETNA | HMO | $43,672.50 | ↑ +76% |
| AETNA | PPO | $43,672.50 | ↑ +76% |
| CIGNA | PPO | $46,404.46 | ↑ +87% |
| CIGNA | HMO | $46,404.46 | ↑ +87% |
| AMERIHEALTH | REGIONAL HMO | $47,224.53 | ↑ +90% |
| OXFORD | ALL PRODUCTS | $133,135.00 | ↑ +436% |
| UNITED HEALTHCARE | HMO | $135,176.00 | ↑ +444% |
| 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 sgl lead sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $186.16 – $49,061.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $25,182.83 – $50,365.66 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $191.64 – $50,365.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $240.91 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Hackensack University Medical Center | Hackensack | $26,433.98 | $778.17 – $27,755.68 |