Contrast x-ray of knee joint at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$395.64
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.
$1,568.00
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.
$214.07 with KARNA vs $1,483.33 with AMERIHEALTH — 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 | $214.07 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $252.45 | ↓ -36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $269.54 | ↓ -32% |
| CLOVER | MEDICARE ADVANTAGE | $282.24 | ↓ -29% |
| HORIZON | MANAGED MEDICAID | $298.70 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $337.12 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| CIGNA | HMO | $438.62 | ↑ +11% |
| CIGNA | PPO | $438.62 | ↑ +11% |
| UNITED HEALTHCARE | HMO | $1,055.58 | ↑ +167% |
| OXFORD | ALL PRODUCTS | $1,055.58 | ↑ +167% |
| INTERGROUP | WORKERS COMP | $1,097.60 | ↑ +177% |
| INTERGROUP | SHARED SAVINGS | $1,097.60 | ↑ +177% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,097.60 | ↑ +177% |
| HORIZON | WORKERS COMP | $1,146.21 | ↑ +190% |
| HORIZON | PIP | $1,146.21 | ↑ +190% |
| HORIZON | OMNIA | $1,153.73 | ↑ +192% |
| BERGEN RISK | ALL PRODUCTS | $1,176.00 | ↑ +197% |
| QUALCARE | WORKERS COMP | $1,212.06 | ↑ +206% |
| QUALCARE | PPO | $1,212.06 | ↑ +206% |
| QUALCARE | HMO | $1,212.06 | ↑ +206% |
| PRIME HEALTH | WORKERS COMP | $1,254.40 | ↑ +217% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,254.40 | ↑ +217% |
| PRIME HEALTH | AUTO INSURANCE | $1,254.40 | ↑ +217% |
| AETNA | ASA | $1,317.12 | ↑ +233% |
| AETNA | PPO | $1,317.12 | ↑ +233% |
| AETNA | HMO | $1,317.12 | ↑ +233% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,332.80 | ↑ +237% |
| HORIZON | SHP | $1,375.45 | ↑ +248% |
| HORIZON | HMO | $1,423.59 | ↑ +260% |
| HORIZON | INDEMNITY | $1,442.40 | ↑ +265% |
| HORIZON | PPO | $1,457.14 | ↑ +268% |
| AMERIHEALTH | LOCAL HMO | $1,483.33 | ↑ +275% |
| AMERIHEALTH | REGIONAL HMO | $1,483.33 | ↑ +275% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $196.39 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $31.22 – $1,138.41 |
| Ocean University Medical Center | Brick | $390.30 | $196.39 – $427.07 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $196.39 – $1,131.05 |
| Palisades Medical Center | North Bergen | $420.58 | $34.44 – $996.68 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $47.25 – $996.68 |
| Riverview Medical Center | Red Bank | $395.29 | $29.40 – $996.68 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $196.39 – $427.07 |