healthcosts.net
Pelvic CT scan (with and without contrast) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$197.04
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.
$3,630.00
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.
$197.04 with HORIZON BCBS BRAVEN vs $3,133.42 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +120% |
| OXFORD | ALL PRODUCTS | $434.32 | ↑ +120% |
| AETNA | PPO | $558.68 | ↑ +184% |
| AETNA | HMO | $558.68 | ↑ +184% |
| AETNA | MANAGED MEDICAID | $595.32 | ↑ +202% |
| CIGNA | PPO | $612.13 | ↑ +211% |
| CIGNA | HMO | $612.13 | ↑ +211% |
| CLOVER | MEDICARE ADVANTAGE | $653.40 | ↑ +232% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $678.81 | ↑ +245% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| AMERIHEALTH | LOCAL HMO | $743.92 | ↑ +278% |
| AMERIHEALTH | REGIONAL HMO | $756.79 | ↑ +284% |
| QUALCARE | PPO | $1,762.00 | ↑ +794% |
| QUALCARE | HMO | $2,083.00 | ↑ +957% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +996% |
| HORIZON | MANAGED MEDICAID | $2,210.31 | ↑ +1022% |
| HORIZON | PIP | $2,341.35 | ↑ +1088% |
| HORIZON | WORKERS COMP | $2,341.35 | ↑ +1088% |
| HORIZON | OMNIA | $2,478.93 | ↑ +1158% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,504.70 | ↑ +1171% |
| BERGEN RISK | ALL PRODUCTS | $2,722.50 | ↑ +1282% |
| AETNA | ASA | $2,842.29 | ↑ +1342% |
| CIGNA | BH | $2,904.00 | ↑ +1374% |
| HORIZON | SHP | $3,031.41 | ↑ +1438% |
| HORIZON | HMO | $3,061.18 | ↑ +1454% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,085.50 | ↑ +1466% |
| HORIZON | INDEMNITY | $3,105.10 | ↑ +1476% |
| HORIZON | PPO | $3,133.42 | ↑ +1490% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | 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 |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $2,910.31 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,731.90 |