Abdominal Ultrasound (limited) 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.
$1,020.00
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 $947.89 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% |
| AMERIHEALTH | REGIONAL HMO | $147.63 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $163.43 | ↑ +39% |
| AETNA | MANAGED MEDICAID | $164.22 | ↑ +39% |
| KARNA | MEDICARE ADVANTAGE | $167.64 | ↑ +42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $175.34 | ↑ +49% |
| CLOVER | MEDICARE ADVANTAGE | $183.60 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $194.31 | ↑ +65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $219.30 | ↑ +86% |
| CIGNA | HMO | $231.88 | ↑ +97% |
| CIGNA | PPO | $231.88 | ↑ +97% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $714.00 | ↑ +506% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $714.00 | ↑ +506% |
| INTERGROUP | WORKERS COMP | $714.00 | ↑ +506% |
| HORIZON | WORKERS COMP | $745.62 | ↑ +533% |
| HORIZON | PIP | $745.62 | ↑ +533% |
| HORIZON | OMNIA | $750.52 | ↑ +537% |
| BERGEN RISK | ALL PRODUCTS | $765.00 | ↑ +549% |
| QUALCARE | HMO | $788.46 | ↑ +569% |
| QUALCARE | WORKERS COMP | $788.46 | ↑ +569% |
| QUALCARE | PPO | $788.46 | ↑ +569% |
| PRIME HEALTH | AUTO INSURANCE | $816.00 | ↑ +593% |
| PRIME HEALTH | WORKERS COMP | $816.00 | ↑ +593% |
| AETNA | ASA | $856.80 | ↑ +627% |
| AETNA | PPO | $856.80 | ↑ +627% |
| AETNA | HMO | $856.80 | ↑ +627% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $867.00 | ↑ +636% |
| HORIZON | SHP | $894.74 | ↑ +659% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $918.00 | ↑ +679% |
| HORIZON | HMO | $926.06 | ↑ +686% |
| HORIZON | INDEMNITY | $938.30 | ↑ +696% |
| HORIZON | PPO | $947.89 | ↑ +705% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $176.81 | $45.18 – $310.70 |
| Cooperman Barnabas Medical Center | Livingston | $199.60 | $72.16 – $310.70 |
| Community Medical Center | Toms River | $195.37 | $72.16 – $310.70 |
| Clara Maass Medical Center | Belleville | $187.36 | $72.16 – $310.70 |
| Childrens Specialized Hospital | Mountainside | $354.00 | $44.00 – $44.00 |
| Newark Beth Israel Medical Center | Newark | $196.21 | $46.50 – $310.70 |
| Jersey City Medical Center | Jersey City | $195.74 | $58.46 – $310.70 |
| Monmouth Medical Center | Long Branch | $206.10 | $72.16 – $310.70 |