Dup scan/ue art/graft/bilat/comp 93930 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$267.78
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.
$1,704.00
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.
$241.72 with HORIZON vs $1,640.27 with CIGNA — 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 | $241.72 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $274.34 | ↑ +2% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $292.92 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $306.72 | ↑ +15% |
| KARNA | MEDICARE ADVANTAGE | $355.63 | ↑ +33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $366.36 | ↑ +37% |
| INTERGROUP | SHARED SAVINGS | $1,192.80 | ↑ +345% |
| INTERGROUP | WORKERS COMP | $1,192.80 | ↑ +345% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,192.80 | ↑ +345% |
| HORIZON | WORKERS COMP | $1,245.62 | ↑ +365% |
| HORIZON | PIP | $1,245.62 | ↑ +365% |
| HORIZON | OMNIA | $1,253.80 | ↑ +368% |
| BERGEN RISK | ALL PRODUCTS | $1,278.00 | ↑ +377% |
| PRIME HEALTH | AUTO INSURANCE | $1,363.20 | ↑ +409% |
| PRIME HEALTH | WORKERS COMP | $1,363.20 | ↑ +409% |
| AETNA | ASA | $1,445.67 | ↑ +440% |
| AETNA | PPO | $1,445.67 | ↑ +440% |
| AETNA | HMO | $1,445.67 | ↑ +440% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,448.40 | ↑ +441% |
| HORIZON | SHP | $1,494.75 | ↑ +458% |
| OXFORD | ALL PRODUCTS | $1,499.00 | ↑ +460% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,533.60 | ↑ +473% |
| HORIZON | HMO | $1,547.06 | ↑ +478% |
| HORIZON | INDEMNITY | $1,567.51 | ↑ +485% |
| UNITED HEALTHCARE | HMO | $1,573.00 | ↑ +487% |
| QUALCARE | PPO | $1,577.90 | ↑ +489% |
| QUALCARE | HMO | $1,577.90 | ↑ +489% |
| QUALCARE | WORKERS COMP | $1,577.90 | ↑ +489% |
| HORIZON | PPO | $1,583.53 | ↑ +491% |
| AMERIHEALTH | REGIONAL HMO | $1,611.98 | ↑ +502% |
| AMERIHEALTH | LOCAL HMO | $1,611.98 | ↑ +502% |
| CIGNA | HMO | $1,640.27 | ↑ +513% |
| CIGNA | PPO | $1,640.27 | ↑ +513% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $479.57 | $103.35 – $836.55 |
| Cooperman Barnabas Medical Center | Livingston | $547.76 | $271.19 – $836.55 |
| Community Medical Center | Toms River | $529.90 | $264.17 – $836.55 |
| Clara Maass Medical Center | Belleville | $397.20 | $271.19 – $836.55 |
| Newark Beth Israel Medical Center | Newark | $538.45 | $106.39 – $836.55 |
| Jersey City Medical Center | Jersey City | $530.92 | $133.74 – $836.55 |
| Monmouth Medical Center | Long Branch | $559.03 | $267.55 – $836.55 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |