Abdominal CT scan (with and without contrast) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$197.21
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.
$3,850.00
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.
$178.02 with HORIZON vs $3,577.81 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 | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $178.02 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| VACCN | ALL PRODUCTS | $178.02 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $186.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.21 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $461.11 | ↑ +134% |
| UNITED HEALTHCARE | HMO | $461.11 | ↑ +134% |
| KARNA | MEDICARE ADVANTAGE | $521.17 | ↑ +164% |
| AETNA | MANAGED MEDICAID | $619.85 | ↑ +214% |
| CIGNA | PPO | $626.72 | ↑ +218% |
| CIGNA | HMO | $626.72 | ↑ +218% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $661.82 | ↑ +236% |
| AMERIHEALTH | REGIONAL HMO | $683.00 | ↑ +246% |
| CLOVER | MEDICARE ADVANTAGE | $693.00 | ↑ +251% |
| HORIZON | MANAGED MEDICAID | $733.43 | ↑ +272% |
| AMERIHEALTH | LOCAL HMO | $756.09 | ↑ +283% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $827.75 | ↑ +320% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,656.50 | ↑ +1247% |
| INTERGROUP | WORKERS COMP | $2,695.00 | ↑ +1267% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,695.00 | ↑ +1267% |
| INTERGROUP | SHARED SAVINGS | $2,695.00 | ↑ +1267% |
| HORIZON | PIP | $2,814.35 | ↑ +1327% |
| HORIZON | WORKERS COMP | $2,814.35 | ↑ +1327% |
| HORIZON | OMNIA | $2,832.83 | ↑ +1336% |
| BERGEN RISK | ALL PRODUCTS | $2,887.50 | ↑ +1364% |
| QUALCARE | PPO | $2,976.05 | ↑ +1409% |
| QUALCARE | WORKERS COMP | $2,976.05 | ↑ +1409% |
| QUALCARE | HMO | $2,976.05 | ↑ +1409% |
| PRIME HEALTH | AUTO INSURANCE | $3,080.00 | ↑ +1462% |
| PRIME HEALTH | WORKERS COMP | $3,080.00 | ↑ +1462% |
| AETNA | HMO | $3,234.00 | ↑ +1540% |
| AETNA | ASA | $3,234.00 | ↑ +1540% |
| AETNA | PPO | $3,234.00 | ↑ +1540% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,272.50 | ↑ +1559% |
| HORIZON | SHP | $3,377.22 | ↑ +1612% |
| HORIZON | HMO | $3,495.42 | ↑ +1672% |
| HORIZON | INDEMNITY | $3,541.62 | ↑ +1696% |
| HORIZON | PPO | $3,577.81 | ↑ +1714% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $701.81 | $126.80 – $724.55 |
| Cooperman Barnabas Medical Center | Livingston | $672.99 | $199.72 – $726.00 |
| Community Medical Center | Toms River | $775.46 | $194.55 – $726.00 |
| Clara Maass Medical Center | Belleville | $652.19 | $199.72 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $661.56 | $130.53 – $726.00 |
| Jersey City Medical Center | Jersey City | $776.96 | $164.09 – $704.00 |
| Monmouth Medical Center | Long Branch | $818.09 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $1,762.00 |