Transcath closure of asd 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.
$34,076.00
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 $33,162.76 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% |
| AETNA | MANAGED MEDICAID | $5,588.46 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $6,133.68 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,372.21 | ↓ -68% |
| 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% |
| 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% |
| HORIZON | MANAGED MEDICAID | $20,748.88 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,869.35 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21,664.38 | ↑ +9% |
| HORIZON | WORKERS COMP | $21,979.02 | ↑ +11% |
| HORIZON | PIP | $21,979.02 | ↑ +11% |
| OXFORD | ALL PRODUCTS | $23,503.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $23,850.69 | ↑ +20% |
| QUALCARE | HMO | $26,477.05 | ↑ +33% |
| QUALCARE | PPO | $26,477.05 | ↑ +33% |
| AETNA | ASA | $26,681.51 | ↑ +34% |
| CIGNA | BH | $27,260.80 | ↑ +37% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $28,964.60 | ↑ +46% |
| AMERIHEALTH | LOCAL HMO | $29,278.10 | ↑ +47% |
| UNITED HEALTHCARE | HMO | $29,446.00 | ↑ +48% |
| QUALCARE | WORKERS COMP | $29,986.88 | ↑ +51% |
| CIGNA | HMO | $32,586.88 | ↑ +64% |
| CIGNA | PPO | $32,586.88 | ↑ +64% |
| AMERIHEALTH | REGIONAL HMO | $33,162.76 | ↑ +67% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Transcath closure of asd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $8,054.95 | $1,175.28 – $40,292.00 |
| Clara Maass Medical Center | Belleville | $4,627.01 | $1,161.12 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $7,918.10 | $493.92 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $6,961.92 | $620.93 – $42,082.35 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $1,602.93 – $22,204.26 |
| Ocean University Medical Center | Brick | $19,624.54 | $1,567.91 – $23,549.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $1,416.00 – $19,892.81 |
| Jersey Shore University Medical Center | Neptune City | $19,875.58 | $1,567.91 – $23,850.69 |