healthcosts.net
Head 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.
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What you pay up front if you don't use insurance.
$2,504.00
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.
$106.34 with AMERIGROUP vs $2,067.30 with HORIZON — 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 |
|---|---|---|---|
| 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% |
| KARNA | MEDICARE ADVANTAGE | $199.03 | ↑ +71% |
| CIGNA | PPO | $203.98 | ↑ +76% |
| CIGNA | HMO | $203.98 | ↑ +76% |
| AETNA | PPO | $205.42 | ↑ +77% |
| AETNA | HMO | $205.42 | ↑ +77% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $265.07 | ↑ +128% |
| AETNA | MANAGED MEDICAID | $355.57 | ↑ +206% |
| HORIZON | MANAGED MEDICAID | $411.10 | ↑ +254% |
| AMERIHEALTH | LOCAL HMO | $439.59 | ↑ +278% |
| AMERIHEALTH | REGIONAL HMO | $447.19 | ↑ +285% |
| CLOVER | MEDICARE ADVANTAGE | $450.72 | ↑ +288% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $463.97 | ↑ +299% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +459% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| INTERGROUP | SHARED SAVINGS | $1,510.60 | ↑ +1200% |
| INTERGROUP | WORKERS COMP | $1,510.60 | ↑ +1200% |
| HORIZON | OMNIA | $1,631.11 | ↑ +1303% |
| QUALCARE | HMO | $1,668.13 | ↑ +1335% |
| QUALCARE | WORKERS COMP | $1,668.13 | ↑ +1335% |
| QUALCARE | PPO | $1,668.13 | ↑ +1335% |
| PRIME HEALTH | WORKERS COMP | $1,726.40 | ↑ +1385% |
| PRIME HEALTH | AUTO INSURANCE | $1,726.40 | ↑ +1385% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,727.76 | ↑ +1387% |
| HORIZON | WORKERS COMP | $1,794.87 | ↑ +1444% |
| AETNA | ASA | $1,812.72 | ↑ +1460% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,834.30 | ↑ +1478% |
| BERGEN RISK | ALL PRODUCTS | $1,878.00 | ↑ +1516% |
| HORIZON | PIP | $1,935.59 | ↑ +1565% |
| HORIZON | SHP | $1,952.37 | ↑ +1580% |
| HORIZON | HMO | $2,014.47 | ↑ +1633% |
| HORIZON | INDEMNITY | $2,038.26 | ↑ +1654% |
| HORIZON | PPO | $2,067.30 | ↑ +1679% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Head CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $2,128.40 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $1,903.36 |