CT heart w/evaluation of calcium without contrast at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$97.54
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.
$99.00
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.
$15.94 with AETNA vs $531.63 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $15.94 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $17.02 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $17.82 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $18.86 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $21.29 | ↓ -78% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $68.31 | ↓ -30% |
| INTERGROUP | WORKERS COMP | $69.30 | ↓ -29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $69.30 | ↓ -29% |
| INTERGROUP | SHARED SAVINGS | $69.30 | ↓ -29% |
| HORIZON | WORKERS COMP | $72.37 | ↓ -26% |
| HORIZON | PIP | $72.37 | ↓ -26% |
| HORIZON | OMNIA | $72.84 | ↓ -25% |
| BERGEN RISK | ALL PRODUCTS | $74.25 | ↓ -24% |
| QUALCARE | WORKERS COMP | $76.53 | ↓ -22% |
| QUALCARE | HMO | $76.53 | ↓ -22% |
| QUALCARE | PPO | $76.53 | ↓ -22% |
| PRIME HEALTH | AUTO INSURANCE | $79.20 | ↓ -19% |
| PRIME HEALTH | WORKERS COMP | $79.20 | ↓ -19% |
| AETNA | ASA | $83.16 | ↓ -15% |
| AETNA | PPO | $83.16 | ↓ -15% |
| AETNA | HMO | $83.16 | ↓ -15% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $84.15 | ↓ -14% |
| HORIZON | SHP | $86.84 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| HORIZON | HMO | $89.88 | ↓ -8% |
| HORIZON | INDEMNITY | $91.07 | ↓ -7% |
| HORIZON | PPO | $92.00 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $197.86 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $208.92 | ↑ +114% |
| UNITED HEALTHCARE | HMO | $208.92 | ↑ +114% |
| CIGNA | PPO | $222.29 | ↑ +128% |
| CIGNA | HMO | $222.29 | ↑ +128% |
| AMERIHEALTH | REGIONAL HMO | $480.24 | ↑ +392% |
| AMERIHEALTH | LOCAL HMO | $531.63 | ↑ +445% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $10.51 | $53.25 – $509.45 |
| Cooperman Barnabas Medical Center | Livingston | $11.86 | $69.68 – $726.00 |
| Community Medical Center | Toms River | $11.61 | $69.68 – $726.00 |
| Clara Maass Medical Center | Belleville | $11.13 | $69.68 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $11.66 | $54.82 – $726.00 |
| Jersey City Medical Center | Jersey City | $11.63 | $68.92 – $704.00 |
| Monmouth Medical Center | Long Branch | $12.25 | $69.68 – $726.00 |
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $1,762.00 |