Intraoral periapical first at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$97.46
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.
$120.00
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.
$19.68 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 | $19.68 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $21.60 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $22.44 | ↓ -77% |
| UNITED HEALTHCARE | HMO | $68.03 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.68 | ↓ -27% |
| HORIZON | WORKERS COMP | $77.40 | ↓ -21% |
| HORIZON | PIP | $77.40 | ↓ -21% |
| OXFORD | ALL PRODUCTS | $78.61 | ↓ -19% |
| HORIZON | OMNIA | $81.95 | ↓ -16% |
| BERGEN RISK | ALL PRODUCTS | $90.00 | ↓ -8% |
| QUALCARE | PPO | $93.24 | ↓ -4% |
| AETNA | ASA | $93.96 | ↓ -4% |
| CIGNA | BH | $96.00 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| HORIZON | SHP | $100.21 | ↑ +3% |
| HORIZON | HMO | $101.20 | ↑ +4% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $102.00 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| HORIZON | INDEMNITY | $102.65 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $103.10 | ↑ +6% |
| HORIZON | PPO | $103.58 | ↑ +6% |
| QUALCARE | WORKERS COMP | $105.60 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| CIGNA | PPO | $114.76 | ↑ +18% |
| CIGNA | HMO | $114.76 | ↑ +18% |
| AMERIHEALTH | REGIONAL HMO | $116.78 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $868.00 | ↑ +791% |
| QUALCARE | HMO | $6,256.00 | ↑ +6319% |
| AETNA | PPO | $8,419.00 | ↑ +8538% |
| AETNA | HMO | $8,419.00 | ↑ +8538% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +10092% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Intraoral periapical first at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $103.69 | $44.21 – $108.88 |
| Ocean University Medical Center | Brick | $96.23 | $43.30 – $115.47 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $44.21 – $97.54 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $43.30 – $116.95 |
| Palisades Medical Center | North Bergen | $103.69 | $44.21 – $113.03 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $44.21 – $117.05 |
| Riverview Medical Center | Red Bank | $97.46 | $43.30 – $116.95 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $43.30 – $115.47 |