Abdominal Ultrasound (complete) 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.
$1,111.00
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 WELLCARE vs $1,032.45 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $178.87 | ↑ +52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $190.98 | ↑ +62% |
| CLOVER | MEDICARE ADVANTAGE | $199.98 | ↑ +70% |
| AMERIHEALTH | REGIONAL HMO | $202.77 | ↑ +72% |
| HORIZON | MANAGED MEDICAID | $211.65 | ↑ +80% |
| KARNA | MEDICARE ADVANTAGE | $223.99 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $224.47 | ↑ +91% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $238.87 | ↑ +103% |
| CIGNA | PPO | $307.98 | ↑ +161% |
| CIGNA | HMO | $307.98 | ↑ +161% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $777.70 | ↑ +560% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $777.70 | ↑ +560% |
| INTERGROUP | WORKERS COMP | $777.70 | ↑ +560% |
| HORIZON | WORKERS COMP | $812.14 | ↑ +589% |
| HORIZON | PIP | $812.14 | ↑ +589% |
| HORIZON | OMNIA | $817.47 | ↑ +594% |
| BERGEN RISK | ALL PRODUCTS | $833.25 | ↑ +607% |
| QUALCARE | HMO | $858.80 | ↑ +629% |
| QUALCARE | WORKERS COMP | $858.80 | ↑ +629% |
| QUALCARE | PPO | $858.80 | ↑ +629% |
| PRIME HEALTH | AUTO INSURANCE | $888.80 | ↑ +654% |
| PRIME HEALTH | WORKERS COMP | $888.80 | ↑ +654% |
| AETNA | ASA | $933.24 | ↑ +692% |
| AETNA | PPO | $933.24 | ↑ +692% |
| AETNA | HMO | $933.24 | ↑ +692% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $944.35 | ↑ +702% |
| HORIZON | SHP | $974.57 | ↑ +727% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $999.90 | ↑ +749% |
| HORIZON | HMO | $1,008.68 | ↑ +756% |
| HORIZON | INDEMNITY | $1,022.01 | ↑ +768% |
| HORIZON | PPO | $1,032.45 | ↑ +776% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $204.78 | $48.09 – $409.49 |
| Cooperman Barnabas Medical Center | Livingston | $231.18 | $108.24 – $409.49 |
| Community Medical Center | Toms River | $226.27 | $108.24 – $409.49 |
| Clara Maass Medical Center | Belleville | $216.99 | $108.24 – $409.49 |
| Childrens Specialized Hospital | Mountainside | $363.00 | $66.00 – $66.00 |
| Newark Beth Israel Medical Center | Newark | $227.25 | $62.16 – $409.49 |
| Jersey City Medical Center | Jersey City | $226.70 | $78.14 – $409.49 |
| Monmouth Medical Center | Long Branch | $238.71 | $108.24 – $409.49 |