Abdominal CT scan (without contrast) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
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.
$2,200.00
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.
$106.34 with AMERIGROUP vs $2,044.46 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| CIGNA | PPO | $258.71 | ↑ +120% |
| CIGNA | HMO | $258.71 | ↑ +120% |
| KARNA | MEDICARE ADVANTAGE | $268.27 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $281.42 | ↑ +139% |
| UNITED HEALTHCARE | HMO | $281.42 | ↑ +139% |
| AETNA | MANAGED MEDICAID | $354.20 | ↑ +201% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $378.18 | ↑ +221% |
| CLOVER | MEDICARE ADVANTAGE | $396.00 | ↑ +236% |
| HORIZON | MANAGED MEDICAID | $419.10 | ↑ +256% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $473.00 | ↑ +301% |
| AMERIHEALTH | REGIONAL HMO | $478.46 | ↑ +306% |
| AMERIHEALTH | LOCAL HMO | $529.66 | ↑ +350% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,518.00 | ↑ +1189% |
| INTERGROUP | WORKERS COMP | $1,540.00 | ↑ +1207% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,540.00 | ↑ +1207% |
| INTERGROUP | SHARED SAVINGS | $1,540.00 | ↑ +1207% |
| HORIZON | PIP | $1,608.20 | ↑ +1265% |
| HORIZON | WORKERS COMP | $1,608.20 | ↑ +1265% |
| HORIZON | OMNIA | $1,618.76 | ↑ +1274% |
| BERGEN RISK | ALL PRODUCTS | $1,650.00 | ↑ +1301% |
| QUALCARE | PPO | $1,700.60 | ↑ +1344% |
| QUALCARE | WORKERS COMP | $1,700.60 | ↑ +1344% |
| QUALCARE | HMO | $1,700.60 | ↑ +1344% |
| PRIME HEALTH | AUTO INSURANCE | $1,760.00 | ↑ +1394% |
| PRIME HEALTH | WORKERS COMP | $1,760.00 | ↑ +1394% |
| AETNA | HMO | $1,848.00 | ↑ +1469% |
| AETNA | ASA | $1,848.00 | ↑ +1469% |
| AETNA | PPO | $1,848.00 | ↑ +1469% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,870.00 | ↑ +1487% |
| HORIZON | SHP | $1,929.84 | ↑ +1538% |
| HORIZON | HMO | $1,997.38 | ↑ +1595% |
| HORIZON | INDEMNITY | $2,023.78 | ↑ +1618% |
| HORIZON | PPO | $2,044.46 | ↑ +1635% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $375.58 | $72.44 – $507.56 |
| Cooperman Barnabas Medical Center | Livingston | $424.01 | $119.31 – $726.00 |
| Community Medical Center | Toms River | $415.00 | $116.22 – $726.00 |
| Clara Maass Medical Center | Belleville | $376.91 | $119.31 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $416.80 | $74.57 – $726.00 |
| Jersey City Medical Center | Jersey City | $415.80 | $93.75 – $704.00 |
| Monmouth Medical Center | Long Branch | $437.81 | $117.70 – $726.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |