Dup scan/hemodialysis access 93990 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
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.
$1,353.00
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.
$106.34 with HORIZON vs $1,573.00 with UNITED HEALTHCARE — 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 | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $217.83 | ↑ +85% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $232.58 | ↑ +97% |
| CLOVER | MEDICARE ADVANTAGE | $243.54 | ↑ +107% |
| KARNA | MEDICARE ADVANTAGE | $264.35 | ↑ +124% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $290.90 | ↑ +147% |
| INTERGROUP | SHARED SAVINGS | $947.10 | ↑ +704% |
| INTERGROUP | WORKERS COMP | $947.10 | ↑ +704% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $947.10 | ↑ +704% |
| HORIZON | WORKERS COMP | $989.04 | ↑ +740% |
| HORIZON | PIP | $989.04 | ↑ +740% |
| HORIZON | OMNIA | $995.54 | ↑ +745% |
| BERGEN RISK | ALL PRODUCTS | $1,014.75 | ↑ +761% |
| PRIME HEALTH | AUTO INSURANCE | $1,082.40 | ↑ +819% |
| PRIME HEALTH | WORKERS COMP | $1,082.40 | ↑ +819% |
| AETNA | ASA | $1,147.89 | ↑ +874% |
| AETNA | PPO | $1,147.89 | ↑ +874% |
| AETNA | HMO | $1,147.89 | ↑ +874% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,150.05 | ↑ +876% |
| HORIZON | SHP | $1,186.85 | ↑ +907% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,217.70 | ↑ +934% |
| HORIZON | HMO | $1,228.39 | ↑ +943% |
| HORIZON | INDEMNITY | $1,244.62 | ↑ +956% |
| QUALCARE | PPO | $1,252.88 | ↑ +963% |
| QUALCARE | HMO | $1,252.88 | ↑ +963% |
| QUALCARE | WORKERS COMP | $1,252.88 | ↑ +963% |
| HORIZON | PPO | $1,257.34 | ↑ +967% |
| AMERIHEALTH | REGIONAL HMO | $1,279.94 | ↑ +986% |
| AMERIHEALTH | LOCAL HMO | $1,279.94 | ↑ +986% |
| CIGNA | HMO | $1,302.40 | ↑ +1006% |
| CIGNA | PPO | $1,302.40 | ↑ +1006% |
| OXFORD | ALL PRODUCTS | $1,499.00 | ↑ +1172% |
| UNITED HEALTHCARE | HMO | $1,573.00 | ↑ +1235% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/hemodialysis access 93990 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $283.61 | $67.69 – $645.51 |
| Cooperman Barnabas Medical Center | Livingston | $327.17 | $119.31 – $645.51 |
| Community Medical Center | Toms River | $313.38 | $116.22 – $645.51 |
| Clara Maass Medical Center | Belleville | $151.95 | $119.31 – $645.51 |
| Newark Beth Israel Medical Center | Newark | $321.61 | $69.68 – $645.51 |
| Jersey City Medical Center | Jersey City | $313.98 | $87.60 – $645.51 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $4,324.00 |