Valvuloplasty aortic at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$6,310.78
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.
$14,071.00
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.
$1,613.00 with HORIZON vs $22,999.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,613.00 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $2,307.64 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $2,532.78 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,631.28 | ↓ -58% |
| QUALCARE | HMO | $6,256.00 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $6,310.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,310.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,310.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,310.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,626.32 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,878.75 | ↑ +9% |
| HORIZON | OMNIA | $6,984.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $7,572.94 | ↑ +20% |
| HORIZON | SHP | $8,004.00 | ↑ +27% |
| AETNA | PPO | $8,419.00 | ↑ +33% |
| AETNA | HMO | $8,419.00 | ↑ +33% |
| HORIZON | HMO | $8,627.00 | ↑ +37% |
| HORIZON | INDEMNITY | $8,748.00 | ↑ +39% |
| HORIZON | PPO | $8,830.00 | ↑ +40% |
| HORIZON | WORKERS COMP | $9,075.80 | ↑ +44% |
| HORIZON | PIP | $9,075.80 | ↑ +44% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +57% |
| QUALCARE | PPO | $10,231.00 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $10,553.25 | ↑ +67% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +71% |
| AETNA | ASA | $11,017.59 | ↑ +75% |
| CIGNA | BH | $11,256.80 | ↑ +78% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,960.35 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $12,089.80 | ↑ +92% |
| CIGNA | PPO | $13,456.10 | ↑ +113% |
| CIGNA | HMO | $13,456.10 | ↑ +113% |
| AMERIHEALTH | REGIONAL HMO | $13,693.90 | ↑ +117% |
| OXFORD | ALL PRODUCTS | $18,384.00 | ↑ +191% |
| UNITED HEALTHCARE | HMO | $22,999.00 | ↑ +264% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty aortic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,662.52 | $949.90 – $12,793.30 |
| Clara Maass Medical Center | Belleville | $1,987.60 | $949.90 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $2,617.28 | $677.33 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $2,574.64 | $851.51 – $13,361.76 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $2,204.42 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $2,150.15 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,316.26 | $1,158.42 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $6,310.78 | $2,150.15 – $7,572.94 |