Carotid Artery Ultrasound (Duplex) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$267.78
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.
$2,090.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $2,011.83 with CIGNA — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -61% |
| HORIZON | HMO | $181.00 | ↓ -32% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -30% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -5% |
| AETNA | MANAGED MEDICAID | $336.49 | ↑ +26% |
| KARNA | MEDICARE ADVANTAGE | $341.12 | ↑ +27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $359.27 | ↑ +34% |
| CLOVER | MEDICARE ADVANTAGE | $376.20 | ↑ +40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $449.35 | ↑ +68% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $1,045.00 | ↑ +290% |
| HORIZON | MANAGED MEDICAID | $1,124.00 | ↑ +320% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,254.00 | ↑ +368% |
| HORIZON | PIP | $1,272.81 | ↑ +375% |
| HORIZON | INDEMNITY | $1,272.81 | ↑ +375% |
| HORIZON | OMNIA | $1,272.81 | ↑ +375% |
| HORIZON | PPO | $1,272.81 | ↑ +375% |
| HORIZON | SHP | $1,272.81 | ↑ +375% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $1,358.50 | ↑ +407% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,463.00 | ↑ +446% |
| INTERGROUP | SHARED SAVINGS | $1,463.00 | ↑ +446% |
| INTERGROUP | WORKERS COMP | $1,463.00 | ↑ +446% |
| OXFORD | ALL PRODUCTS | $1,499.00 | ↑ +460% |
| BERGEN RISK | ALL PRODUCTS | $1,567.50 | ↑ +485% |
| UNITED HEALTHCARE | HMO | $1,573.00 | ↑ +487% |
| PRIME HEALTH | WORKERS COMP | $1,672.00 | ↑ +524% |
| PRIME HEALTH | AUTO INSURANCE | $1,672.00 | ↑ +524% |
| AETNA | PPO | $1,773.16 | ↑ +562% |
| AETNA | HMO | $1,773.16 | ↑ +562% |
| AETNA | ASA | $1,773.16 | ↑ +562% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,776.50 | ↑ +563% |
| QUALCARE | WORKERS COMP | $1,935.34 | ↑ +623% |
| QUALCARE | PPO | $1,935.34 | ↑ +623% |
| QUALCARE | HMO | $1,935.34 | ↑ +623% |
| AMERIHEALTH | REGIONAL HMO | $1,977.14 | ↑ +638% |
| AMERIHEALTH | LOCAL HMO | $1,977.14 | ↑ +638% |
| CIGNA | HMO | $2,011.83 | ↑ +651% |
| CIGNA | PPO | $2,011.83 | ↑ +651% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $349.30 | $99.14 – $794.88 |
| Cooperman Barnabas Medical Center | Livingston | $554.11 | $271.19 – $794.88 |
| Community Medical Center | Toms River | $385.97 | $264.17 – $794.88 |
| Clara Maass Medical Center | Belleville | $435.59 | $271.19 – $794.88 |
| Newark Beth Israel Medical Center | Newark | $544.70 | $102.06 – $794.88 |
| Jersey City Medical Center | Jersey City | $386.71 | $128.30 – $794.88 |
| Monmouth Medical Center | Long Branch | $407.18 | $267.55 – $794.88 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |