Cardiac perf spect sgl/ef/wm rst/strs 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.
$3,933.00
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.
$607.97 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 | $607.97 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $633.21 | ↓ -56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $676.08 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $707.94 | ↓ -51% |
| HORIZON | MANAGED MEDICAID | $749.24 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $845.60 | ↓ -42% |
| AMERIHEALTH | REGIONAL HMO | $907.11 | ↓ -37% |
| AMERIHEALTH | LOCAL HMO | $1,004.19 | ↓ -31% |
| CIGNA | HMO | $1,027.56 | ↓ -29% |
| CIGNA | PPO | $1,027.56 | ↓ -29% |
| 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 | $2,753.10 | ↑ +90% |
| INTERGROUP | WORKERS COMP | $2,753.10 | ↑ +90% |
| INTERGROUP | SHARED SAVINGS | $2,753.10 | ↑ +90% |
| HORIZON | PIP | $2,875.02 | ↑ +99% |
| HORIZON | WORKERS COMP | $2,875.02 | ↑ +99% |
| HORIZON | OMNIA | $2,893.90 | ↑ +100% |
| BERGEN RISK | ALL PRODUCTS | $2,949.75 | ↑ +104% |
| QUALCARE | WORKERS COMP | $3,040.21 | ↑ +110% |
| QUALCARE | PPO | $3,040.21 | ↑ +110% |
| QUALCARE | HMO | $3,040.21 | ↑ +110% |
| PRIME HEALTH | AUTO INSURANCE | $3,146.40 | ↑ +118% |
| PRIME HEALTH | WORKERS COMP | $3,146.40 | ↑ +118% |
| AETNA | ASA | $3,303.72 | ↑ +128% |
| AETNA | PPO | $3,303.72 | ↑ +128% |
| AETNA | HMO | $3,303.72 | ↑ +128% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,343.05 | ↑ +131% |
| HORIZON | SHP | $3,450.03 | ↑ +139% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,539.70 | ↑ +145% |
| HORIZON | HMO | $3,570.77 | ↑ +147% |
| HORIZON | INDEMNITY | $3,617.97 | ↑ +150% |
| HORIZON | PPO | $3,654.94 | ↑ +153% |
| 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 spect sgl/ef/wm rst/strs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $672.71 | $163.30 – $2,853.46 |
| Cooperman Barnabas Medical Center | Livingston | $714.95 | $196.80 – $2,929.28 |
| Community Medical Center | Toms River | $743.32 | $196.80 – $2,839.19 |
| Clara Maass Medical Center | Belleville | $643.83 | $196.80 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $702.80 | $168.11 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $744.75 | $196.80 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $784.17 | $196.80 – $2,875.51 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $475.97 – $3,535.83 |