CT thoracic spine without contrast at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
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.
$2,929.00
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.
$117.70 with WELLCARE vs $2,528.31 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CIGNA | HMO | $256.70 | ↑ +118% |
| CIGNA | PPO | $256.70 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $265.07 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +125% |
| AETNA | HMO | $313.21 | ↑ +166% |
| AETNA | PPO | $313.21 | ↑ +166% |
| AETNA | MANAGED MEDICAID | $480.36 | ↑ +308% |
| CLOVER | MEDICARE ADVANTAGE | $527.22 | ↑ +348% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $547.72 | ↑ +365% |
| AMERIHEALTH | LOCAL HMO | $550.98 | ↑ +368% |
| AMERIHEALTH | REGIONAL HMO | $560.51 | ↑ +376% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +507% |
| QUALCARE | PPO | $1,762.00 | ↑ +1397% |
| HORIZON | MANAGED MEDICAID | $1,783.47 | ↑ +1415% |
| HORIZON | PIP | $1,889.21 | ↑ +1505% |
| HORIZON | WORKERS COMP | $1,889.21 | ↑ +1505% |
| HORIZON | OMNIA | $2,000.21 | ↑ +1599% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,021.01 | ↑ +1617% |
| QUALCARE | HMO | $2,083.00 | ↑ +1670% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +1735% |
| BERGEN RISK | ALL PRODUCTS | $2,196.75 | ↑ +1766% |
| AETNA | ASA | $2,293.41 | ↑ +1849% |
| CIGNA | BH | $2,343.20 | ↑ +1891% |
| HORIZON | SHP | $2,446.01 | ↑ +1978% |
| HORIZON | HMO | $2,470.03 | ↑ +1999% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,489.65 | ↑ +2015% |
| HORIZON | INDEMNITY | $2,505.47 | ↑ +2029% |
| HORIZON | PPO | $2,528.31 | ↑ +2048% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
CT thoracic spine without contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $2,028.74 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,762.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $492.69 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $2,083.00 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,752.00 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $1,762.00 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $550.98 |