Intraoral periapical first at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$96.23
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.
$21.60 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $21.60 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $22.20 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24.60 | ↓ -74% |
| KARNA | MEDICARE ADVANTAGE | $43.30 | ↓ -55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.68 | ↓ -27% |
| HORIZON | PIP | $78.12 | ↓ -19% |
| HORIZON | WORKERS COMP | $80.63 | ↓ -16% |
| OXFORD | ALL PRODUCTS | $85.31 | ↓ -11% |
| HORIZON | OMNIA | $86.65 | ↓ -10% |
| BERGEN RISK | ALL PRODUCTS | $90.00 | ↓ -6% |
| UNITED HEALTHCARE | HMO | $93.22 | ↓ -3% |
| AETNA | ASA | $93.96 | ↓ -2% |
| CIGNA | BH | $96.00 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $96.23 | ↑ +0% |
| VACCN | ALL PRODUCTS | $96.23 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $101.04 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $102.00 | ↑ +6% |
| HORIZON | SHP | $103.01 | ↑ +7% |
| AMERIHEALTH | LOCAL HMO | $104.21 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $104.89 | ↑ +9% |
| HORIZON | INDEMNITY | $106.80 | ↑ +11% |
| HORIZON | HMO | $106.87 | ↑ +11% |
| QUALCARE | HMO | $108.96 | ↑ +13% |
| QUALCARE | WORKERS COMP | $108.96 | ↑ +13% |
| QUALCARE | PPO | $108.96 | ↑ +13% |
| HORIZON | PPO | $109.70 | ↑ +14% |
| CIGNA | HMO | $114.76 | ↑ +19% |
| CIGNA | PPO | $114.76 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $118.03 | ↑ +23% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↑ +838% |
| AETNA | HMO | $9,383.00 | ↑ +9651% |
| AETNA | PPO | $9,383.00 | ↑ +9651% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +10222% |
| 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 |
|---|---|---|---|
| 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 |
| Trinitas Regional Medical Center | Elizabeth | not published | $3.83 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | not published | $98.79 – $197.58 |
| Community Medical Center | Toms River | not published | $96.23 – $191.50 |