Intraoral i+d tongue/floor lingual 41000 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$564.16
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.
$2,628.00
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.
$127.05 with HORIZON vs $2,386.22 with QUALCARE — 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 | $127.05 | ↓ -77% |
| KARNA | MEDICARE ADVANTAGE | $226.54 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $349.52 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $473.04 | ↓ -16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $544.00 | ↓ -4% |
| VACCN | ALL PRODUCTS | $564.16 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $564.16 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $564.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $564.16 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $592.37 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $603.65 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $614.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $676.99 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $795.00 | ↑ +41% |
| HORIZON | PIP | $958.00 | ↑ +70% |
| HORIZON | WORKERS COMP | $959.00 | ↑ +70% |
| OXFORD | ALL PRODUCTS | $1,591.78 | ↑ +182% |
| AETNA | ASA | $2,057.72 | ↑ +265% |
| CIGNA | BH | $2,102.40 | ↑ +273% |
| UNITED HEALTHCARE | HMO | $2,139.98 | ↑ +279% |
| QUALCARE | WORKERS COMP | $2,148.00 | ↑ +281% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,233.80 | ↑ +296% |
| QUALCARE | PPO | $2,386.22 | ↑ +323% |
| HORIZON | PPO | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| HORIZON | SHP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Intraoral i+d tongue/floor lingual 41000 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $75.23 – $1,113.10 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $84.36 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $86.39 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $83.34 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $77.44 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $91.48 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $166.69 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $368.00 – $676.40 |