Artery xrays of pelvis 75736 26 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$5,988.54
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.
$10,758.00
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.
$274.75 with KARNA vs $13,679.04 with OXFORD — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $274.75 | ↓ -95% |
| CIGNA | PPO | $345.83 | ↓ -94% |
| CIGNA | HMO | $345.83 | ↓ -94% |
| AETNA | MANAGED MEDICAID | $1,732.04 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,849.30 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $1,936.44 | ↓ -68% |
| HORIZON | MANAGED MEDICAID | $2,049.40 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,312.97 | ↓ -61% |
| WELLCARE | MEDICARE ADVANTAGE | $5,405.70 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,405.70 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,405.70 | ↓ -10% |
| VACCN | ALL PRODUCTS | $5,405.70 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $5,405.70 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,405.70 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,675.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,988.54 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $7,530.60 | ↑ +26% |
| INTERGROUP | WORKERS COMP | $7,530.60 | ↑ +26% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,530.60 | ↑ +26% |
| HORIZON | PIP | $7,864.10 | ↑ +31% |
| HORIZON | WORKERS COMP | $7,864.10 | ↑ +31% |
| HORIZON | OMNIA | $7,915.74 | ↑ +32% |
| BERGEN RISK | ALL PRODUCTS | $8,068.50 | ↑ +35% |
| QUALCARE | WORKERS COMP | $8,315.93 | ↑ +39% |
| QUALCARE | PPO | $8,315.93 | ↑ +39% |
| QUALCARE | HMO | $8,315.93 | ↑ +39% |
| PRIME HEALTH | AUTO INSURANCE | $8,606.40 | ↑ +44% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,606.40 | ↑ +44% |
| PRIME HEALTH | WORKERS COMP | $8,606.40 | ↑ +44% |
| AETNA | ASA | $9,036.72 | ↑ +51% |
| AETNA | PPO | $9,036.72 | ↑ +51% |
| AETNA | HMO | $9,036.72 | ↑ +51% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,144.30 | ↑ +53% |
| HORIZON | SHP | $9,436.92 | ↑ +58% |
| HORIZON | HMO | $9,767.19 | ↑ +63% |
| HORIZON | INDEMNITY | $9,896.28 | ↑ +65% |
| HORIZON | PPO | $9,997.41 | ↑ +67% |
| AMERIHEALTH | LOCAL HMO | $10,177.07 | ↑ +70% |
| AMERIHEALTH | REGIONAL HMO | $10,177.07 | ↑ +70% |
| UNITED HEALTHCARE | HMO | $13,679.04 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $13,679.04 | ↑ +128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Artery xrays of pelvis 75736 26 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,965.21 | $74.23 – $11,815.56 |
| Cooperman Barnabas Medical Center | Livingston | $2,837.12 | $247.97 – $12,129.52 |
| Community Medical Center | Toms River | $2,171.47 | $239.31 – $11,756.48 |
| Clara Maass Medical Center | Belleville | $1,615.46 | $247.97 – $12,068.87 |
| Newark Beth Israel Medical Center | Newark | $2,788.92 | $76.41 – $12,129.52 |
| Jersey City Medical Center | Jersey City | $2,175.66 | $96.06 – $12,668.50 |
| Monmouth Medical Center | Long Branch | $2,290.83 | $246.32 – $11,906.87 |
| Bayshore Medical Center | Holmdel | $5,983.35 | $294.09 – $12,915.78 |