healthcosts.net
Sinus CT scan (with contrast) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$194.55
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.
$2,906.00
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.
$178.02 with AMERIGROUP vs $2,470.10 with MULTIPLAN - PHCS — 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 | $178.02 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $178.02 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $178.02 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $178.02 | ↓ -8% |
| VACCN | ALL PRODUCTS | $178.02 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $178.02 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $186.92 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.55 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $233.47 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $286.03 | ↑ +47% |
| CIGNA | PPO | $309.42 | ↑ +59% |
| CIGNA | HMO | $309.42 | ↑ +59% |
| AETNA | PPO | $311.20 | ↑ +60% |
| AETNA | HMO | $311.20 | ↑ +60% |
| AETNA | MANAGED MEDICAID | $412.65 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $434.32 | ↑ +123% |
| CLOVER | MEDICARE ADVANTAGE | $523.08 | ↑ +169% |
| AMERIHEALTH | LOCAL HMO | $548.99 | ↑ +182% |
| HORIZON | MANAGED MEDICAID | $553.59 | ↑ +185% |
| AMERIHEALTH | REGIONAL HMO | $558.48 | ↑ +187% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $563.76 | ↑ +190% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +234% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +267% |
| HORIZON | OMNIA | $1,892.97 | ↑ +873% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,005.14 | ↑ +931% |
| INTERGROUP | SHARED SAVINGS | $2,034.20 | ↑ +946% |
| INTERGROUP | WORKERS COMP | $2,034.20 | ↑ +946% |
| QUALCARE | HMO | $2,083.00 | ↑ +971% |
| HORIZON | WORKERS COMP | $2,083.02 | ↑ +971% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +1010% |
| BERGEN RISK | ALL PRODUCTS | $2,179.50 | ↑ +1020% |
| HORIZON | PIP | $2,246.34 | ↑ +1055% |
| QUALCARE | PPO | $2,246.34 | ↑ +1055% |
| HORIZON | SHP | $2,265.81 | ↑ +1065% |
| AETNA | ASA | $2,275.40 | ↑ +1070% |
| PRIME HEALTH | WORKERS COMP | $2,324.80 | ↑ +1095% |
| PRIME HEALTH | AUTO INSURANCE | $2,324.80 | ↑ +1095% |
| HORIZON | HMO | $2,337.88 | ↑ +1102% |
| HORIZON | INDEMNITY | $2,365.48 | ↑ +1116% |
| HORIZON | PPO | $2,399.19 | ↑ +1133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,470.10 | ↑ +1170% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $2,470.10 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $2,563.09 |