Breath hydrogen test 91065 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.
?
What you pay up front if you don't use insurance.
$296.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$47.66 with AETNA vs $284.93 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $47.66 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.88 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $53.28 | ↓ -69% |
| HORIZON | MANAGED MEDICAID | $56.39 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $63.64 | ↓ -63% |
| AMERIGROUP | MEDICARE ADVANTAGE | $64.53 | ↓ -63% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -40% |
| KARNA | MEDICARE ADVANTAGE | $133.62 | ↓ -23% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $148.00 | ↓ -15% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| OXFORD | ALL PRODUCTS | $167.24 | ↓ -4% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $177.60 | ↑ +2% |
| HORIZON | OMNIA | $180.26 | ↑ +4% |
| HORIZON | SHP | $180.26 | ↑ +4% |
| HORIZON | PPO | $180.26 | ↑ +4% |
| HORIZON | INDEMNITY | $180.26 | ↑ +4% |
| HORIZON | PIP | $180.26 | ↑ +4% |
| HORIZON | HMO | $181.00 | ↑ +4% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +8% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $192.40 | ↑ +11% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $207.20 | ↑ +20% |
| INTERGROUP | SHARED SAVINGS | $207.20 | ↑ +20% |
| INTERGROUP | WORKERS COMP | $207.20 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $222.00 | ↑ +28% |
| PRIME HEALTH | WORKERS COMP | $236.80 | ↑ +37% |
| PRIME HEALTH | AUTO INSURANCE | $236.80 | ↑ +37% |
| UNITED HEALTHCARE | HMO | $246.12 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $251.60 | ↑ +45% |
| AETNA | ASA | $265.42 | ↑ +53% |
| AETNA | PPO | $265.42 | ↑ +53% |
| AETNA | HMO | $265.42 | ↑ +53% |
| QUALCARE | WORKERS COMP | $274.10 | ↑ +58% |
| QUALCARE | HMO | $274.10 | ↑ +58% |
| QUALCARE | PPO | $274.10 | ↑ +58% |
| AMERIHEALTH | REGIONAL HMO | $280.02 | ↑ +62% |
| AMERIHEALTH | LOCAL HMO | $280.02 | ↑ +62% |
| CIGNA | HMO | $284.93 | ↑ +64% |
| CIGNA | PPO | $284.93 | ↑ +64% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breath hydrogen test 91065 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $101.05 – $188.77 |
| Hackensack University Medical Center | Hackensack | $184.26 | $133.62 – $4,994.00 |
| Ocean University Medical Center | Brick | $170.99 | $101.05 – $2,080.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $79.42 – $181.84 |
| Palisades Medical Center | North Bergen | $184.26 | $133.62 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $101.05 – $570.00 |
| Riverview Medical Center | Red Bank | $173.18 | $101.05 – $188.77 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $101.05 – $186.38 |