healthcosts.net
Abdominal CT scan (without contrast) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$116.22
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.
?
What you pay up front if you don't use insurance.
$2,200.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$106.34 with AMERIGROUP vs $1,760.00 with PRIME HEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| CIGNA | PPO | $251.91 | ↑ +117% |
| CIGNA | HMO | $251.91 | ↑ +117% |
| AETNA | PPO | $252.32 | ↑ +117% |
| AETNA | HMO | $252.32 | ↑ +117% |
| KARNA | MEDICARE ADVANTAGE | $256.06 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $265.07 | ↑ +128% |
| AETNA | MANAGED MEDICAID | $281.16 | ↑ +142% |
| CLOVER | MEDICARE ADVANTAGE | $356.40 | ↑ +207% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $384.12 | ↑ +231% |
| HORIZON | MANAGED MEDICAID | $419.10 | ↑ +261% |
| AMERIHEALTH | LOCAL HMO | $535.06 | ↑ +360% |
| AMERIHEALTH | REGIONAL HMO | $544.32 | ↑ +368% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +459% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| HORIZON | OMNIA | $1,289.77 | ↑ +1010% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,366.20 | ↑ +1076% |
| HORIZON | WORKERS COMP | $1,419.26 | ↑ +1121% |
| BERGEN RISK | ALL PRODUCTS | $1,485.00 | ↑ +1178% |
| HORIZON | PIP | $1,530.54 | ↑ +1217% |
| INTERGROUP | SHARED SAVINGS | $1,540.00 | ↑ +1225% |
| INTERGROUP | WORKERS COMP | $1,540.00 | ↑ +1225% |
| HORIZON | SHP | $1,543.81 | ↑ +1228% |
| AETNA | ASA | $1,550.34 | ↑ +1234% |
| HORIZON | HMO | $1,592.91 | ↑ +1271% |
| HORIZON | INDEMNITY | $1,611.72 | ↑ +1287% |
| HORIZON | PPO | $1,634.69 | ↑ +1307% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,683.00 | ↑ +1348% |
| QUALCARE | HMO | $1,700.60 | ↑ +1363% |
| QUALCARE | WORKERS COMP | $1,700.60 | ↑ +1363% |
| QUALCARE | PPO | $1,700.60 | ↑ +1363% |
| PRIME HEALTH | WORKERS COMP | $1,760.00 | ↑ +1414% |
| PRIME HEALTH | AUTO INSURANCE | $1,760.00 | ↑ +1414% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $1,943.71 |