healthcosts.net
Sinus 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.
$2,420.00
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 $1,997.95 with HORIZON — 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% |
| KARNA | MEDICARE ADVANTAGE | $241.20 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $265.07 | ↑ +128% |
| AETNA | PPO | $270.29 | ↑ +133% |
| AETNA | HMO | $270.29 | ↑ +133% |
| CIGNA | PPO | $271.08 | ↑ +133% |
| CIGNA | HMO | $271.08 | ↑ +133% |
| AETNA | MANAGED MEDICAID | $343.64 | ↑ +196% |
| CLOVER | MEDICARE ADVANTAGE | $435.60 | ↑ +275% |
| HORIZON | MANAGED MEDICAID | $438.72 | ↑ +277% |
| AMERIHEALTH | LOCAL HMO | $463.46 | ↑ +299% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $469.48 | ↑ +304% |
| AMERIHEALTH | REGIONAL HMO | $471.47 | ↑ +306% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +459% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +514% |
| HORIZON | OMNIA | $1,576.39 | ↑ +1256% |
| INTERGROUP | SHARED SAVINGS | $1,612.10 | ↑ +1287% |
| INTERGROUP | WORKERS COMP | $1,612.10 | ↑ +1287% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,669.80 | ↑ +1337% |
| HORIZON | WORKERS COMP | $1,734.66 | ↑ +1393% |
| QUALCARE | PPO | $1,762.00 | ↑ +1416% |
| QUALCARE | HMO | $1,780.22 | ↑ +1432% |
| QUALCARE | WORKERS COMP | $1,780.22 | ↑ +1432% |
| BERGEN RISK | ALL PRODUCTS | $1,815.00 | ↑ +1462% |
| PRIME HEALTH | WORKERS COMP | $1,842.40 | ↑ +1485% |
| PRIME HEALTH | AUTO INSURANCE | $1,842.40 | ↑ +1485% |
| HORIZON | PIP | $1,870.66 | ↑ +1510% |
| HORIZON | SHP | $1,886.87 | ↑ +1524% |
| AETNA | ASA | $1,894.86 | ↑ +1530% |
| HORIZON | HMO | $1,946.89 | ↑ +1575% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,957.55 | ↑ +1584% |
| HORIZON | INDEMNITY | $1,969.88 | ↑ +1595% |
| HORIZON | PPO | $1,997.95 | ↑ +1619% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $2,057.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $2,031.25 |