CT Scan of Abdomen and Pelvis (with contrast) 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.
$5,353.00
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.
$357.13 with HORIZON vs $4,974.54 with HORIZON — 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 | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $563.83 | ↑ +43% |
| KARNA | MEDICARE ADVANTAGE | $601.94 | ↑ +52% |
| AMERIHEALTH | LOCAL HMO | $624.17 | ↑ +58% |
| CIGNA | PPO | $703.50 | ↑ +78% |
| CIGNA | HMO | $703.50 | ↑ +78% |
| AETNA | MANAGED MEDICAID | $861.83 | ↑ +118% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $920.18 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $950.67 | ↑ +140% |
| UNITED HEALTHCARE | HMO | $950.67 | ↑ +140% |
| CLOVER | MEDICARE ADVANTAGE | $963.54 | ↑ +144% |
| HORIZON | MANAGED MEDICAID | $1,019.75 | ↑ +158% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,150.90 | ↑ +191% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,693.57 | ↑ +834% |
| INTERGROUP | WORKERS COMP | $3,747.10 | ↑ +847% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,747.10 | ↑ +847% |
| INTERGROUP | SHARED SAVINGS | $3,747.10 | ↑ +847% |
| HORIZON | PIP | $3,913.04 | ↑ +889% |
| HORIZON | WORKERS COMP | $3,913.04 | ↑ +889% |
| HORIZON | OMNIA | $3,938.74 | ↑ +896% |
| BERGEN RISK | ALL PRODUCTS | $4,014.75 | ↑ +915% |
| QUALCARE | PPO | $4,137.87 | ↑ +946% |
| QUALCARE | WORKERS COMP | $4,137.87 | ↑ +946% |
| QUALCARE | HMO | $4,137.87 | ↑ +946% |
| PRIME HEALTH | AUTO INSURANCE | $4,282.40 | ↑ +982% |
| PRIME HEALTH | WORKERS COMP | $4,282.40 | ↑ +982% |
| AETNA | HMO | $4,496.52 | ↑ +1037% |
| AETNA | ASA | $4,496.52 | ↑ +1037% |
| AETNA | PPO | $4,496.52 | ↑ +1037% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,550.05 | ↑ +1050% |
| HORIZON | SHP | $4,695.65 | ↑ +1087% |
| HORIZON | HMO | $4,859.99 | ↑ +1128% |
| HORIZON | INDEMNITY | $4,924.22 | ↑ +1145% |
| HORIZON | PPO | $4,974.54 | ↑ +1157% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $676.65 | $161.98 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $763.89 | $247.07 – $801.34 |
| Community Medical Center | Toms River | $747.67 | $221.00 – $776.70 |
| Clara Maass Medical Center | Belleville | $717.03 | $221.00 – $797.33 |
| Childrens Specialized Hospital | Mountainside | $2,083.50 | $150.65 – $150.65 |
| Newark Beth Israel Medical Center | Newark | $750.92 | $166.74 – $801.34 |
| Jersey City Medical Center | Jersey City | $749.11 | $209.62 – $836.95 |
| Monmouth Medical Center | Long Branch | $788.77 | $221.00 – $786.63 |