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Upper Endoscopy (EGD, with biopsy) 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.
$4,106.00
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.
$673.38 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 | $673.38 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $739.08 | ↓ -29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $767.82 | ↓ -26% |
| 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% |
| HORIZON | MANAGED MEDICAID | $1,141.00 | ↑ +10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $1,245.30 | ↑ +20% |
| HORIZON | PIP | $2,648.37 | ↑ +155% |
| HORIZON | WORKERS COMP | $2,648.37 | ↑ +155% |
| HORIZON | OMNIA | $2,803.99 | ↑ +170% |
| BERGEN RISK | ALL PRODUCTS | $3,079.50 | ↑ +197% |
| CIGNA | HMO | $3,135.00 | ↑ +202% |
| QUALCARE | PPO | $3,190.36 | ↑ +207% |
| AETNA | ASA | $3,215.00 | ↑ +210% |
| CIGNA | BH | $3,284.80 | ↑ +217% |
| HORIZON | SHP | $3,428.92 | ↑ +230% |
| HORIZON | HMO | $3,462.59 | ↑ +234% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,490.10 | ↑ +236% |
| CIGNA | PPO | $3,508.00 | ↑ +238% |
| HORIZON | INDEMNITY | $3,512.27 | ↑ +238% |
| AMERIHEALTH | LOCAL HMO | $3,527.88 | ↑ +240% |
| HORIZON | PPO | $3,544.30 | ↑ +242% |
| QUALCARE | WORKERS COMP | $3,613.28 | ↑ +248% |
| AMERIHEALTH | REGIONAL HMO | $3,995.96 | ↑ +285% |
| 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, with biopsy) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $1,104.13 | $290.50 – $3,695.40 |
| Ocean University Medical Center | Brick | $1,024.64 | $281.82 – $3,715.52 |