healthcosts.net
Upper Endoscopy (EGD, diagnostic) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,037.75
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.
$4,476.00
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.
$734.06 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 | $734.06 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $805.68 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $837.01 | ↓ -19% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,037.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,037.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,037.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,089.64 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,131.14 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $1,245.30 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +117% |
| CIGNA | PPO | $2,518.00 | ↑ +143% |
| HORIZON | PIP | $2,887.02 | ↑ +178% |
| HORIZON | WORKERS COMP | $2,887.02 | ↑ +178% |
| HORIZON | OMNIA | $3,056.66 | ↑ +195% |
| BERGEN RISK | ALL PRODUCTS | $3,357.00 | ↑ +223% |
| QUALCARE | PPO | $3,477.85 | ↑ +235% |
| AETNA | ASA | $3,504.71 | ↑ +238% |
| CIGNA | BH | $3,580.80 | ↑ +245% |
| HORIZON | SHP | $3,737.91 | ↑ +260% |
| HORIZON | HMO | $3,774.61 | ↑ +264% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,804.60 | ↑ +267% |
| HORIZON | INDEMNITY | $3,828.77 | ↑ +269% |
| AMERIHEALTH | LOCAL HMO | $3,845.78 | ↑ +271% |
| HORIZON | PPO | $3,863.68 | ↑ +272% |
| QUALCARE | WORKERS COMP | $3,938.88 | ↑ +280% |
| AMERIHEALTH | REGIONAL HMO | $4,356.04 | ↑ +320% |
| OXFORD | ALL PRODUCTS | $6,096.00 | ↑ +487% |
| QUALCARE | HMO | $6,256.00 | ↑ +503% |
| UNITED HEALTHCARE | HMO | $7,527.00 | ↑ +625% |
| AETNA | PPO | $8,419.00 | ↑ +711% |
| AETNA | HMO | $8,419.00 | ↑ +711% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +857% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick | $1,024.64 | $249.63 – $4,050.33 |
| Hackensack University Medical Center | Hackensack | $1,104.13 | $257.43 – $4,028.40 |