healthcosts.net
Sinus 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.
?
What you pay up front if you don't use insurance.
$3,376.00
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.
$167.72 with OPTUM HEALTH vs $3,292.28 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 |
|---|---|---|---|
| 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 | $364.23 | ↑ +74% |
| CIGNA | PPO | $385.88 | ↑ +84% |
| CIGNA | HMO | $385.88 | ↑ +84% |
| AETNA | PPO | $486.23 | ↑ +132% |
| AETNA | ASA | $486.23 | ↑ +132% |
| AETNA | HMO | $486.23 | ↑ +132% |
| UNITED HEALTHCARE | HMO | $552.17 | ↑ +163% |
| OXFORD | ALL PRODUCTS | $552.17 | ↑ +163% |
| CLOVER | MEDICARE ADVANTAGE | $607.68 | ↑ +190% |
| AMERIHEALTH | LOCAL HMO | $666.01 | ↑ +218% |
| AMERIHEALTH | REGIONAL HMO | $666.01 | ↑ +218% |
| AETNA | MANAGED MEDICAID | $847.38 | ↑ +304% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $965.54 | ↑ +361% |
| HORIZON | OMNIA | $2,210.94 | ↑ +955% |
| HORIZON | WORKERS COMP | $2,324.71 | ↑ +1009% |
| INTERGROUP | ALL PRODUCTS | $2,363.20 | ↑ +1027% |
| LHP HEALTH | ALL PRODUCTS | $2,426.69 | ↑ +1057% |
| HORIZON | PIP | $2,532.00 | ↑ +1108% |
| BERGEN RISK | ALL PRODUCTS | $2,532.00 | ↑ +1108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,667.04 | ↑ +1172% |
| CIGNA | BH | $2,700.80 | ↑ +1188% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,869.60 | ↑ +1269% |
| CHN | ALL PRODUCTS | $2,869.60 | ↑ +1269% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,869.60 | ↑ +1269% |
| QUALCARE | HMO | $2,977.63 | ↑ +1320% |
| QUALCARE | WORKERS COMP | $2,977.63 | ↑ +1320% |
| QUALCARE | PPO | $2,977.63 | ↑ +1320% |
| HORIZON | HMO | $3,215.30 | ↑ +1434% |
| HORIZON | INDEMNITY | $3,231.84 | ↑ +1442% |
| HORIZON | SHP | $3,252.44 | ↑ +1451% |
| HORIZON | FEDERAL | $3,292.28 | ↑ +1470% |
| HORIZON | PPO | $3,292.28 | ↑ +1470% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sinus 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 – $2,869.60 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,869.60 |