Treat toe dislocation at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$293.96
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.
$1,487.00
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.
$243.87 with AETNA vs $1,308.56 with QUALCARE — 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 | $243.87 | ↓ -17% |
| CLOVER | MEDICARE ADVANTAGE | $267.66 | ↓ -9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $278.07 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $293.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $293.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $293.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $293.96 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $308.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $320.42 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $352.75 | ↑ +20% |
| QUALCARE | HMO | $368.00 | ↑ +25% |
| UNITED HEALTHCARE | HMO | $842.98 | ↑ +187% |
| HORIZON | PIP | $959.12 | ↑ +226% |
| HORIZON | WORKERS COMP | $959.12 | ↑ +226% |
| OXFORD | ALL PRODUCTS | $974.13 | ↑ +231% |
| QUALCARE | PPO | $1,155.40 | ↑ +293% |
| AETNA | ASA | $1,164.32 | ↑ +296% |
| CIGNA | BH | $1,189.60 | ↑ +305% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,263.95 | ↑ +330% |
| QUALCARE | WORKERS COMP | $1,308.56 | ↑ +345% |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | SHP | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Treat toe dislocation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $78.77 – $912.99 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $99.20 – $595.92 |
| Community Medical Center | Toms River | $3,786.00 | $101.59 – $577.60 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $98.01 – $592.94 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $81.09 – $595.92 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $101.94 – $622.39 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $196.01 – $584.98 |
| Hackensack University Medical Center | Hackensack | $312.76 | $250.21 – $328.40 |