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CT Scan of Abdomen and Pelvis (with contrast) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$420.58
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.
$4,076.00
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.
$223.97 with HORIZON vs $3,974.92 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $223.97 | ↓ -47% |
| OPTUM HEALTH | MANAGED MEDICAID | $336.46 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $420.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $420.58 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $420.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $441.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $444.73 | ↑ +6% |
| KARNA | MEDICARE ADVANTAGE | $601.94 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $632.11 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $632.11 | ↑ +50% |
| CIGNA | PPO | $671.25 | ↑ +60% |
| CIGNA | HMO | $671.25 | ↑ +60% |
| CLOVER | MEDICARE ADVANTAGE | $733.68 | ↑ +74% |
| AETNA | PPO | $760.15 | ↑ +81% |
| AETNA | ASA | $760.15 | ↑ +81% |
| AETNA | HMO | $760.15 | ↑ +81% |
| AETNA | MANAGED MEDICAID | $1,023.08 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $1,138.41 | ↑ +171% |
| OXFORD | ALL PRODUCTS | $1,138.41 | ↑ +171% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,165.74 | ↑ +177% |
| HORIZON | OMNIA | $2,669.37 | ↑ +535% |
| HORIZON | WORKERS COMP | $2,806.73 | ↑ +567% |
| INTERGROUP | ALL PRODUCTS | $2,853.20 | ↑ +578% |
| HORIZON | PIP | $3,057.00 | ↑ +627% |
| BERGEN RISK | ALL PRODUCTS | $3,057.00 | ↑ +627% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,220.04 | ↑ +666% |
| LHP HEALTH | ALL PRODUCTS | $3,220.04 | ↑ +666% |
| CIGNA | BH | $3,260.80 | ↑ +675% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,464.60 | ↑ +724% |
| CHN | ALL PRODUCTS | $3,464.60 | ↑ +724% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,464.60 | ↑ +724% |
| QUALCARE | HMO | $3,595.03 | ↑ +755% |
| QUALCARE | WORKERS COMP | $3,595.03 | ↑ +755% |
| QUALCARE | PPO | $3,595.03 | ↑ +755% |
| HORIZON | HMO | $3,881.98 | ↑ +823% |
| HORIZON | INDEMNITY | $3,901.95 | ↑ +828% |
| HORIZON | SHP | $3,926.82 | ↑ +834% |
| HORIZON | FEDERAL | $3,974.92 | ↑ +845% |
| HORIZON | PPO | $3,974.92 | ↑ +845% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $3,952.50 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $4,282.40 |