healthcosts.net
Skin Biopsy at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$219.93
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.
$825.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $135.30 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $148.50 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $154.28 | ↓ -30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $219.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $219.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $230.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $239.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $263.92 | ↑ +20% |
| HORIZON | PIP | $532.13 | ↑ +142% |
| HORIZON | WORKERS COMP | $532.13 | ↑ +142% |
| HORIZON | OMNIA | $563.39 | ↑ +156% |
| BERGEN RISK | ALL PRODUCTS | $618.75 | ↑ +181% |
| QUALCARE | PPO | $641.03 | ↑ +191% |
| AETNA | ASA | $645.98 | ↑ +194% |
| CIGNA | BH | $660.00 | ↑ +200% |
| HORIZON | SHP | $688.96 | ↑ +213% |
| HORIZON | HMO | $695.72 | ↑ +216% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $701.25 | ↑ +219% |
| HORIZON | INDEMNITY | $705.71 | ↑ +221% |
| AMERIHEALTH | LOCAL HMO | $708.84 | ↑ +222% |
| HORIZON | PPO | $712.14 | ↑ +224% |
| QUALCARE | WORKERS COMP | $726.00 | ↑ +230% |
| AMERIHEALTH | REGIONAL HMO | $802.89 | ↑ +265% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +441% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +633% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +1159% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +1417% |
| QUALCARE | HMO | $6,256.00 | ↑ +2745% |
| AETNA | PPO | $8,419.00 | ↑ +3728% |
| AETNA | HMO | $8,419.00 | ↑ +3728% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4416% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Skin Biopsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $217.16 | $76.98 – $895.85 |
| Hackensack University Medical Center | Hackensack | $234.00 | $79.41 – $891.00 |