Arm CT Scan (with contrast, both arms) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$395.64
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.
$2,548.00
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.
$357.13 with HORIZON vs $2,367.86 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 | $357.13 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $398.50 | ↑ +1% |
| AETNA | MANAGED MEDICAID | $410.23 | ↑ +4% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $438.00 | ↑ +11% |
| CLOVER | MEDICARE ADVANTAGE | $458.64 | ↑ +16% |
| CIGNA | PPO | $476.28 | ↑ +20% |
| CIGNA | HMO | $476.28 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $485.39 | ↑ +23% |
| AMERIHEALTH | REGIONAL HMO | $492.69 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $545.41 | ↑ +38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $547.82 | ↑ +38% |
| OXFORD | ALL PRODUCTS | $950.67 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $950.67 | ↑ +140% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,758.12 | ↑ +344% |
| INTERGROUP | WORKERS COMP | $1,783.60 | ↑ +351% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,783.60 | ↑ +351% |
| INTERGROUP | SHARED SAVINGS | $1,783.60 | ↑ +351% |
| HORIZON | PIP | $1,862.59 | ↑ +371% |
| HORIZON | WORKERS COMP | $1,862.59 | ↑ +371% |
| HORIZON | OMNIA | $1,874.82 | ↑ +374% |
| BERGEN RISK | ALL PRODUCTS | $1,911.00 | ↑ +383% |
| QUALCARE | PPO | $1,969.60 | ↑ +398% |
| QUALCARE | WORKERS COMP | $1,969.60 | ↑ +398% |
| QUALCARE | HMO | $1,969.60 | ↑ +398% |
| PRIME HEALTH | AUTO INSURANCE | $2,038.40 | ↑ +415% |
| PRIME HEALTH | WORKERS COMP | $2,038.40 | ↑ +415% |
| AETNA | HMO | $2,140.32 | ↑ +441% |
| AETNA | ASA | $2,140.32 | ↑ +441% |
| AETNA | PPO | $2,140.32 | ↑ +441% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,165.80 | ↑ +447% |
| HORIZON | SHP | $2,235.11 | ↑ +465% |
| HORIZON | HMO | $2,313.33 | ↑ +485% |
| HORIZON | INDEMNITY | $2,343.91 | ↑ +492% |
| HORIZON | PPO | $2,367.86 | ↑ +498% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Arm CT Scan (with contrast, both arms) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $217.01 – $2,028.74 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $2,083.00 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $378.95 – $2,083.00 |
| Palisades Medical Center | North Bergen | $420.58 | $239.39 – $895.45 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $328.43 – $1,752.00 |
| Riverview Medical Center | Red Bank | $395.29 | $204.36 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $378.95 – $550.98 |