Pelvic CT scan (with and without 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.
$3,214.00
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 OPTUM HEALTH vs $3,214.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $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 | $477.96 | ↑ +143% |
| AETNA | MANAGED MEDICAID | $533.52 | ↑ +171% |
| OXFORD | ALL PRODUCTS | $548.59 | ↑ +178% |
| UNITED HEALTHCARE | HMO | $548.59 | ↑ +178% |
| CLOVER | MEDICARE ADVANTAGE | $578.52 | ↑ +194% |
| AETNA | PPO | $581.79 | ↑ +195% |
| AETNA | HMO | $581.79 | ↑ +195% |
| CIGNA | HMO | $612.13 | ↑ +211% |
| CIGNA | PPO | $612.13 | ↑ +211% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +230% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| AMERIHEALTH | LOCAL HMO | $731.07 | ↑ +271% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $742.43 | ↑ +277% |
| AMERIHEALTH | REGIONAL HMO | $743.71 | ↑ +277% |
| QUALCARE | HMO | $2,083.00 | ↑ +957% |
| QUALCARE | WORKERS COMP | $2,159.00 | ↑ +996% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,217.66 | ↑ +1025% |
| QUALCARE | PPO | $2,218.00 | ↑ +1026% |
| HORIZON | WORKERS COMP | $2,322.44 | ↑ +1079% |
| BERGEN RISK | ALL PRODUCTS | $2,410.50 | ↑ +1123% |
| BEACON | ALL PRODUCTS | $2,410.50 | ↑ +1123% |
| HORIZON | PIP | $2,449.07 | ↑ +1143% |
| AETNA | ASA | $2,516.56 | ↑ +1177% |
| HORIZON | OMNIA | $2,549.99 | ↑ +1194% |
| CIGNA | BH | $2,571.20 | ↑ +1205% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,731.90 | ↑ +1286% |
| HORIZON | SHP | $3,119.83 | ↑ +1483% |
| HORIZON | HMO | $3,136.22 | ↑ +1492% |
| HORIZON | INDEMNITY | $3,170.61 | ↑ +1509% |
| HORIZON | PPO | $3,214.00 | ↑ +1531% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | 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 |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $532.31 | $122.42 – $705.68 |
| Cooperman Barnabas Medical Center | Livingston | $600.94 | $199.72 – $726.00 |
| Community Medical Center | Toms River | $588.18 | $194.55 – $726.00 |
| Clara Maass Medical Center | Belleville | $564.08 | $199.72 – $726.00 |
| Childrens Specialized Hospital | Mountainside | $1,208.50 | $175.00 – $175.00 |
| Newark Beth Israel Medical Center | Newark | $590.73 | $126.02 – $726.00 |
| Jersey City Medical Center | Jersey City | $589.32 | $158.43 – $704.00 |
| Monmouth Medical Center | Long Branch | $620.51 | $197.04 – $726.00 |