Cardiac perf planar sgl/ef/wm at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,446.24
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.
$3,739.00
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.
$518.42 with KARNA vs $3,744.78 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 | $518.42 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $601.98 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $642.73 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $673.02 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $712.28 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $803.89 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $907.11 | ↓ -37% |
| CIGNA | HMO | $938.97 | ↓ -35% |
| CIGNA | PPO | $938.97 | ↓ -35% |
| AMERIHEALTH | LOCAL HMO | $1,004.19 | ↓ -31% |
| VACCN | ALL PRODUCTS | $1,305.48 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,305.48 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,305.48 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,305.48 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,305.48 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,305.48 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,370.75 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,446.24 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,617.30 | ↑ +81% |
| INTERGROUP | WORKERS COMP | $2,617.30 | ↑ +81% |
| INTERGROUP | SHARED SAVINGS | $2,617.30 | ↑ +81% |
| HORIZON | PIP | $2,733.21 | ↑ +89% |
| HORIZON | WORKERS COMP | $2,733.21 | ↑ +89% |
| HORIZON | OMNIA | $2,751.16 | ↑ +90% |
| BERGEN RISK | ALL PRODUCTS | $2,804.25 | ↑ +94% |
| QUALCARE | WORKERS COMP | $2,890.25 | ↑ +100% |
| QUALCARE | PPO | $2,890.25 | ↑ +100% |
| QUALCARE | HMO | $2,890.25 | ↑ +100% |
| PRIME HEALTH | AUTO INSURANCE | $2,991.20 | ↑ +107% |
| PRIME HEALTH | WORKERS COMP | $2,991.20 | ↑ +107% |
| AETNA | ASA | $3,140.76 | ↑ +117% |
| AETNA | PPO | $3,140.76 | ↑ +117% |
| AETNA | HMO | $3,140.76 | ↑ +117% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,178.15 | ↑ +120% |
| HORIZON | SHP | $3,279.85 | ↑ +127% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,365.10 | ↑ +133% |
| HORIZON | HMO | $3,394.64 | ↑ +135% |
| HORIZON | INDEMNITY | $3,439.51 | ↑ +138% |
| HORIZON | PPO | $3,474.65 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $3,744.78 | ↑ +159% |
| OXFORD | ALL PRODUCTS | $3,744.78 | ↑ +159% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac perf planar sgl/ef/wm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $773.32 | $139.14 – $2,853.46 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $426.54 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $107.04 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $426.54 – $3,535.83 |
| Jersey Shore University Medical Center | Neptune City | $1,444.98 | $426.54 – $4,012.50 |
| Palisades Medical Center | North Bergen | $1,537.41 | $118.08 – $3,535.83 |
| Raritan Bay Medical Center | Perth Amboy | $1,446.24 | $426.54 – $3,535.83 |
| Riverview Medical Center | Red Bank | $1,444.98 | $426.54 – $3,535.83 |