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Pelvic CT scan (with and without contrast) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$209.65
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.
$3,214.00
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.
$167.72 with OPTUM HEALTH vs $3,134.29 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $167.72 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $209.65 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $209.65 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $209.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $209.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $209.65 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $209.65 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $212.47 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $220.13 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $260.17 | ↑ +24% |
| KARNA | MEDICARE ADVANTAGE | $503.28 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $552.17 | ↑ +163% |
| OXFORD | ALL PRODUCTS | $552.17 | ↑ +163% |
| CLOVER | MEDICARE ADVANTAGE | $578.52 | ↑ +176% |
| CIGNA | PPO | $599.86 | ↑ +186% |
| CIGNA | HMO | $599.86 | ↑ +186% |
| AETNA | PPO | $687.67 | ↑ +228% |
| AETNA | ASA | $687.67 | ↑ +228% |
| AETNA | HMO | $687.67 | ↑ +228% |
| AMERIHEALTH | LOCAL HMO | $745.77 | ↑ +256% |
| AMERIHEALTH | REGIONAL HMO | $745.77 | ↑ +256% |
| AETNA | MANAGED MEDICAID | $806.71 | ↑ +285% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $919.20 | ↑ +338% |
| HORIZON | OMNIA | $2,104.85 | ↑ +904% |
| HORIZON | WORKERS COMP | $2,213.16 | ↑ +956% |
| INTERGROUP | ALL PRODUCTS | $2,249.80 | ↑ +973% |
| HORIZON | PIP | $2,410.50 | ↑ +1050% |
| BERGEN RISK | ALL PRODUCTS | $2,410.50 | ↑ +1050% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,539.06 | ↑ +1111% |
| CIGNA | BH | $2,571.20 | ↑ +1126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,731.90 | ↑ +1203% |
| CHN | ALL PRODUCTS | $2,731.90 | ↑ +1203% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,731.90 | ↑ +1203% |
| QUALCARE | HMO | $2,834.75 | ↑ +1252% |
| QUALCARE | WORKERS COMP | $2,834.75 | ↑ +1252% |
| QUALCARE | PPO | $2,834.75 | ↑ +1252% |
| LHP HEALTH | ALL PRODUCTS | $2,910.31 | ↑ +1288% |
| HORIZON | HMO | $3,061.01 | ↑ +1360% |
| HORIZON | INDEMNITY | $3,076.76 | ↑ +1368% |
| HORIZON | SHP | $3,096.37 | ↑ +1377% |
| HORIZON | FEDERAL | $3,134.29 | ↑ +1395% |
| HORIZON | PPO | $3,134.29 | ↑ +1395% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic CT scan (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $3,085.50 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,731.90 |