Unlisted px male genital sys at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$269.20
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.
$1,356.00
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.
$222.38 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $222.38 | ↓ -17% |
| CLOVER | MEDICARE ADVANTAGE | $244.08 | ↓ -9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $253.57 | ↓ -6% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $269.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $269.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $269.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $269.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $282.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $293.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $323.04 | ↑ +20% |
| HORIZON | PIP | $874.62 | ↑ +225% |
| HORIZON | WORKERS COMP | $874.62 | ↑ +225% |
| HORIZON | OMNIA | $926.01 | ↑ +244% |
| BERGEN RISK | ALL PRODUCTS | $1,017.00 | ↑ +278% |
| QUALCARE | PPO | $1,053.61 | ↑ +291% |
| AETNA | ASA | $1,061.75 | ↑ +294% |
| CIGNA | BH | $1,084.80 | ↑ +303% |
| HORIZON | SHP | $1,132.40 | ↑ +321% |
| HORIZON | HMO | $1,143.51 | ↑ +325% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,152.60 | ↑ +328% |
| HORIZON | INDEMNITY | $1,159.92 | ↑ +331% |
| AMERIHEALTH | LOCAL HMO | $1,165.08 | ↑ +333% |
| HORIZON | PPO | $1,170.50 | ↑ +335% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +342% |
| QUALCARE | WORKERS COMP | $1,193.28 | ↑ +343% |
| CIGNA | PPO | $1,218.91 | ↑ +353% |
| CIGNA | HMO | $1,218.91 | ↑ +353% |
| AMERIHEALTH | REGIONAL HMO | $1,319.66 | ↑ +390% |
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↑ +499% |
| OXFORD | ALL PRODUCTS | $2,768.00 | ↑ +928% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +1139% |
| QUALCARE | HMO | $6,256.00 | ↑ +2224% |
| AETNA | HMO | $8,419.00 | ↑ +3027% |
| AETNA | PPO | $8,419.00 | ↑ +3027% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3590% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px male genital sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $265.80 – $531.60 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $272.86 – $545.72 |
| Community Medical Center | Toms River | $3,786.00 | $265.80 – $528.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $272.86 – $542.99 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $272.86 – $545.72 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $286.42 – $569.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $269.20 – $535.71 |
| Hackensack University Medical Center | Hackensack | $286.42 | $229.13 – $300.74 |