Abdominal CT scan (with contrast) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$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.
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What you pay up front if you don't use insurance.
$2,966.00
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.
$197.04 with HORIZON BCBS BRAVEN vs $2,966.00 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $440.55 | ↑ +124% |
| AETNA | PPO | $488.28 | ↑ +148% |
| AETNA | HMO | $488.28 | ↑ +148% |
| AETNA | MANAGED MEDICAID | $492.36 | ↑ +150% |
| CLOVER | MEDICARE ADVANTAGE | $533.88 | ↑ +171% |
| CIGNA | HMO | $538.52 | ↑ +173% |
| CIGNA | PPO | $538.52 | ↑ +173% |
| OXFORD | ALL PRODUCTS | $548.59 | ↑ +178% |
| UNITED HEALTHCARE | HMO | $548.59 | ↑ +178% |
| AMERIHEALTH | LOCAL HMO | $619.65 | ↑ +214% |
| AMERIHEALTH | REGIONAL HMO | $630.36 | ↑ +220% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +230% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $685.15 | ↑ +248% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,046.54 | ↑ +939% |
| QUALCARE | HMO | $2,083.00 | ↑ +957% |
| HORIZON | WORKERS COMP | $2,143.23 | ↑ +988% |
| QUALCARE | WORKERS COMP | $2,159.00 | ↑ +996% |
| QUALCARE | PPO | $2,218.00 | ↑ +1026% |
| BERGEN RISK | ALL PRODUCTS | $2,224.50 | ↑ +1029% |
| BEACON | ALL PRODUCTS | $2,224.50 | ↑ +1029% |
| HORIZON | PIP | $2,260.09 | ↑ +1047% |
| AETNA | ASA | $2,322.38 | ↑ +1079% |
| HORIZON | OMNIA | $2,353.22 | ↑ +1094% |
| CIGNA | BH | $2,372.80 | ↑ +1104% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,521.10 | ↑ +1179% |
| HORIZON | SHP | $2,879.10 | ↑ +1361% |
| HORIZON | HMO | $2,894.22 | ↑ +1369% |
| HORIZON | INDEMNITY | $2,925.96 | ↑ +1385% |
| HORIZON | PPO | $2,966.00 | ↑ +1405% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $2,348.28 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $563.83 |
| Palisades Medical Center | North Bergen | $209.65 | $209.65 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $197.21 – $1,752.00 |
| Riverview Medical Center | Red Bank | $197.04 | $197.04 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $194.55 | $194.55 – $630.54 |