healthcosts.net
Sinus CT scan (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.
$2,420.00
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 HORIZON BCBS BRAVEN vs $2,159.44 with QUALCARE — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $265.07 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $265.07 | ↑ +125% |
| AETNA | PPO | $270.29 | ↑ +130% |
| AETNA | HMO | $270.29 | ↑ +130% |
| CIGNA | PPO | $271.08 | ↑ +130% |
| CIGNA | HMO | $271.08 | ↑ +130% |
| AETNA | MANAGED MEDICAID | $396.88 | ↑ +237% |
| CLOVER | MEDICARE ADVANTAGE | $435.60 | ↑ +270% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $452.54 | ↑ +284% |
| AMERIHEALTH | LOCAL HMO | $463.46 | ↑ +294% |
| AMERIHEALTH | REGIONAL HMO | $471.47 | ↑ +301% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +507% |
| HORIZON | MANAGED MEDICAID | $1,473.54 | ↑ +1152% |
| HORIZON | PIP | $1,560.90 | ↑ +1226% |
| HORIZON | WORKERS COMP | $1,560.90 | ↑ +1226% |
| HORIZON | OMNIA | $1,652.62 | ↑ +1304% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,669.80 | ↑ +1319% |
| QUALCARE | PPO | $1,762.00 | ↑ +1397% |
| BERGEN RISK | ALL PRODUCTS | $1,815.00 | ↑ +1442% |
| AETNA | ASA | $1,894.86 | ↑ +1510% |
| CIGNA | BH | $1,936.00 | ↑ +1545% |
| HORIZON | SHP | $2,020.94 | ↑ +1617% |
| HORIZON | HMO | $2,040.79 | ↑ +1634% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,057.00 | ↑ +1648% |
| HORIZON | INDEMNITY | $2,070.07 | ↑ +1659% |
| QUALCARE | HMO | $2,083.00 | ↑ +1670% |
| HORIZON | PPO | $2,088.94 | ↑ +1675% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +1735% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $2,031.25 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,957.55 |