Anal/urinary muscle study at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$173.33
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.
$743.00
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.
$119.62 with AETNA vs $9,236.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $119.62 | ↓ -31% |
| HORIZON | MANAGED MEDICAID | $122.00 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $127.72 | ↓ -26% |
| CLOVER | MEDICARE ADVANTAGE | $133.74 | ↓ -23% |
| KARNA | MEDICARE ADVANTAGE | $139.91 | ↓ -19% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $159.75 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $373.73 | ↑ +116% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $415.34 | ↑ +140% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $520.10 | ↑ +200% |
| INTERGROUP | WORKERS COMP | $520.10 | ↑ +200% |
| INTERGROUP | SHARED SAVINGS | $520.10 | ↑ +200% |
| HORIZON | PIP | $543.13 | ↑ +213% |
| HORIZON | WORKERS COMP | $543.13 | ↑ +213% |
| BERGEN RISK | ALL PRODUCTS | $557.25 | ↑ +221% |
| PRIME HEALTH | WORKERS COMP | $594.40 | ↑ +243% |
| PRIME HEALTH | AUTO INSURANCE | $594.40 | ↑ +243% |
| OXFORD | ALL PRODUCTS | $615.06 | ↑ +255% |
| UNITED HEALTHCARE | HMO | $617.80 | ↑ +256% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $631.55 | ↑ +264% |
| AETNA | PPO | $666.25 | ↑ +284% |
| AETNA | HMO | $666.25 | ↑ +284% |
| AETNA | ASA | $666.25 | ↑ +284% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $668.70 | ↑ +286% |
| CIGNA | HMO | $672.34 | ↑ +288% |
| CIGNA | PPO | $672.34 | ↑ +288% |
| QUALCARE | HMO | $688.02 | ↑ +297% |
| QUALCARE | PPO | $688.02 | ↑ +297% |
| QUALCARE | WORKERS COMP | $688.02 | ↑ +297% |
| AMERIHEALTH | REGIONAL HMO | $702.88 | ↑ +306% |
| AMERIHEALTH | LOCAL HMO | $702.88 | ↑ +306% |
| HORIZON | OMNIA | $7,292.00 | ↑ +4107% |
| HORIZON | SHP | $8,353.00 | ↑ +4719% |
| HORIZON | HMO | $9,023.00 | ↑ +5106% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +5166% |
| HORIZON | PPO | $9,236.00 | ↑ +5229% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Anal/urinary muscle study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $103.70 – $340.27 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $100.04 – $349.32 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $207.82 |
| Hackensack University Medical Center | Hackensack | $184.26 | $139.91 – $193.47 |
| Ocean University Medical Center | Brick | $170.99 | $134.36 – $205.19 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $134.36 – $207.82 |
| Palisades Medical Center | North Bergen | $184.26 | $120.17 – $200.84 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $139.91 – $208.00 |