Complex simulation w/pet-ct at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$2,160.80
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.
$6,510.00
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.
$293.00 with HORIZON BCBS BRAVEN vs $6,266.53 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $293.00 | ↓ -86% |
| HORIZON | HMO | $509.00 | ↓ -76% |
| HORIZON | WORKERS COMP | $526.00 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $1,048.11 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,119.07 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $1,171.80 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,399.65 | ↓ -35% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,419.18 | ↓ -34% |
| WELLCARE | MEDICARE ADVANTAGE | $1,950.50 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,950.50 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,950.50 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,950.50 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,950.50 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,048.03 | ↓ -5% |
| AMERIHEALTH | LOCAL HMO | $2,071.48 | ↓ -4% |
| AMERIHEALTH | REGIONAL HMO | $2,071.48 | ↓ -4% |
| OXFORD | ALL PRODUCTS | $2,966.00 | ↑ +37% |
| UNITED HEALTHCARE | HMO | $2,997.00 | ↑ +39% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $3,255.00 | ↑ +51% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,450.30 | ↑ +60% |
| HORIZON | INDEMNITY | $3,964.59 | ↑ +83% |
| HORIZON | PPO | $3,964.59 | ↑ +83% |
| HORIZON | SHP | $3,964.59 | ↑ +83% |
| HORIZON | OMNIA | $3,964.59 | ↑ +83% |
| HORIZON | PIP | $3,964.59 | ↑ +83% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $4,231.50 | ↑ +96% |
| INTERGROUP | SHARED SAVINGS | $4,557.00 | ↑ +111% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,557.00 | ↑ +111% |
| INTERGROUP | WORKERS COMP | $4,557.00 | ↑ +111% |
| BERGEN RISK | ALL PRODUCTS | $4,882.50 | ↑ +126% |
| PRIME HEALTH | AUTO INSURANCE | $5,208.00 | ↑ +141% |
| PRIME HEALTH | WORKERS COMP | $5,208.00 | ↑ +141% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,533.50 | ↑ +156% |
| AETNA | PPO | $5,837.52 | ↑ +170% |
| AETNA | HMO | $5,837.52 | ↑ +170% |
| AETNA | ASA | $5,837.52 | ↑ +170% |
| QUALCARE | HMO | $6,028.26 | ↑ +179% |
| QUALCARE | PPO | $6,028.26 | ↑ +179% |
| QUALCARE | WORKERS COMP | $6,028.26 | ↑ +179% |
| CIGNA | PPO | $6,266.53 | ↑ +190% |
| CIGNA | HMO | $6,266.53 | ↑ +190% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Complex simulation w/pet-ct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,158.93 | $2,158.93 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $2,297.03 | $1,837.62 – $3,250.00 |
| Ocean University Medical Center | Brick | $2,131.66 | $293.00 – $2,630.00 |
| Jersey Shore University Medical Center | Neptune City | $2,158.93 | $2,158.93 – $2,789.00 |
| Palisades Medical Center | North Bergen | $2,297.03 | $2,297.03 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $2,160.80 | $2,160.80 – $2,746.00 |
| Riverview Medical Center | Red Bank | $2,158.93 | $2,158.93 – $2,749.00 |
| Southern Ocean Medical Center | Manahawkin | $2,131.66 | $2,131.66 – $2,703.00 |