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Sinus CT scan (without contrast) at Hackensack University Medical Center

30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 13, 2026

$125.23

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,303.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$100.19 with OPTUM HEALTH vs $2,245.89 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 →

Payer
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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
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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 $100.19 ↓ -20%
OPTUM HEALTH MEDICARE ADVANTAGE $125.23 ↑ +0%
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE $125.23 ↑ +0%
HORIZON MEDICARE ADVANTAGE $125.23 ↑ +0%
WELLCARE MEDICARE ADVANTAGE $125.23 ↑ +0%
VACCN ALL PRODUCTS $125.23 ↑ +0%
WELLCARE MANAGED MEDICAID $125.23 ↑ +0%
AETNA MEDICARE ADVANTAGE $127.14 ↑ +2%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $131.49 ↑ +5%
HORIZON MANAGED MEDICAID $204.42 ↑ +63%
KARNA MEDICARE ADVANTAGE $253.40 ↑ +102%
CIGNA PPO $265.64 ↑ +112%
CIGNA HMO $265.64 ↑ +112%
AETNA PPO $332.69 ↑ +166%
AETNA ASA $332.69 ↑ +166%
AETNA HMO $332.69 ↑ +166%
UNITED HEALTHCARE HMO $336.99 ↑ +169%
OXFORD ALL PRODUCTS $336.99 ↑ +169%
CLOVER MEDICARE ADVANTAGE $414.54 ↑ +231%
AMERIHEALTH LOCAL HMO $464.61 ↑ +271%
AMERIHEALTH REGIONAL HMO $464.61 ↑ +271%
AETNA MANAGED MEDICAID $578.05 ↑ +362%
SEOUL MEDICAL GROUP ALL PRODUCTS $658.66 ↑ +426%
HORIZON OMNIA $1,508.23 ↑ +1104%
HORIZON WORKERS COMP $1,585.85 ↑ +1166%
INTERGROUP ALL PRODUCTS $1,612.10 ↑ +1187%
LHP HEALTH ALL PRODUCTS $1,620.86 ↑ +1194%
HORIZON PIP $1,727.25 ↑ +1279%
BERGEN RISK ALL PRODUCTS $1,727.25 ↑ +1279%
BRIGHTON HEALTH PLAN ALL PRODUCTS $1,819.37 ↑ +1353%
CIGNA BH $1,842.40 ↑ +1371%
MULTIPLAN - PHCS ALL PRODUCTS $1,957.55 ↑ +1463%
CHN ALL PRODUCTS $1,957.55 ↑ +1463%
ACTIVECARE FIRST MCO ALL PRODUCTS $1,957.55 ↑ +1463%
QUALCARE HMO $2,031.25 ↑ +1522%
QUALCARE WORKERS COMP $2,031.25 ↑ +1522%
QUALCARE PPO $2,031.25 ↑ +1522%
HORIZON HMO $2,193.38 ↑ +1651%
HORIZON INDEMNITY $2,204.66 ↑ +1660%
HORIZON SHP $2,218.71 ↑ +1672%
HORIZON FEDERAL $2,245.89 ↑ +1693%
HORIZON PPO $2,245.89 ↑ +1693%
AMERIGROUP MANAGED MEDICAID not published by hospital

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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
Ocean University Medical Center Brick $116.22 $106.34 – $1,957.55

All New-jersey hospitals for this procedure →