Duplex scan bilateral study 93985 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.
$2,653.00
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 AMERIGROUP vs $2,553.78 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $427.13 | ↑ +60% |
| KARNA | MEDICARE ADVANTAGE | $445.80 | ↑ +66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $456.05 | ↑ +70% |
| CLOVER | MEDICARE ADVANTAGE | $477.54 | ↑ +78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $570.40 | ↑ +113% |
| OXFORD | ALL PRODUCTS | $1,499.00 | ↑ +460% |
| UNITED HEALTHCARE | HMO | $1,573.00 | ↑ +487% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,857.10 | ↑ +594% |
| INTERGROUP | WORKERS COMP | $1,857.10 | ↑ +594% |
| INTERGROUP | SHARED SAVINGS | $1,857.10 | ↑ +594% |
| HORIZON | PIP | $1,939.34 | ↑ +624% |
| HORIZON | WORKERS COMP | $1,939.34 | ↑ +624% |
| HORIZON | OMNIA | $1,952.08 | ↑ +629% |
| BERGEN RISK | ALL PRODUCTS | $1,989.75 | ↑ +643% |
| PRIME HEALTH | WORKERS COMP | $2,122.40 | ↑ +693% |
| PRIME HEALTH | AUTO INSURANCE | $2,122.40 | ↑ +693% |
| AETNA | ASA | $2,250.81 | ↑ +741% |
| AETNA | HMO | $2,250.81 | ↑ +741% |
| AETNA | PPO | $2,250.81 | ↑ +741% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,255.05 | ↑ +742% |
| HORIZON | SHP | $2,327.21 | ↑ +769% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,387.70 | ↑ +792% |
| HORIZON | HMO | $2,408.66 | ↑ +799% |
| HORIZON | INDEMNITY | $2,440.49 | ↑ +811% |
| QUALCARE | HMO | $2,456.68 | ↑ +817% |
| QUALCARE | PPO | $2,456.68 | ↑ +817% |
| QUALCARE | WORKERS COMP | $2,456.68 | ↑ +817% |
| HORIZON | PPO | $2,465.43 | ↑ +821% |
| AMERIHEALTH | REGIONAL HMO | $2,509.74 | ↑ +837% |
| AMERIHEALTH | LOCAL HMO | $2,509.74 | ↑ +837% |
| CIGNA | PPO | $2,553.78 | ↑ +854% |
| CIGNA | HMO | $2,553.78 | ↑ +854% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $481.82 | $129.47 – $1,096.88 |
| Cooperman Barnabas Medical Center | Livingston | $506.01 | $264.07 – $1,096.88 |
| Community Medical Center | Toms River | $532.39 | $264.17 – $1,096.88 |
| Clara Maass Medical Center | Belleville | $354.83 | $260.89 – $1,096.88 |
| Newark Beth Israel Medical Center | Newark | $497.42 | $133.28 – $1,096.88 |
| Jersey City Medical Center | Jersey City | $533.42 | $167.55 – $1,096.88 |
| Monmouth Medical Center | Long Branch | $561.65 | $267.55 – $1,096.88 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |