Echo exam of fetal heart at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$607.42
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.
$1,106.00
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.
$178.07 with AETNA vs $1,027.81 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $178.07 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $190.12 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $199.08 | ↓ -67% |
| AMERIHEALTH | REGIONAL HMO | $199.21 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $210.69 | ↓ -65% |
| AMERIHEALTH | LOCAL HMO | $220.53 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $237.79 | ↓ -61% |
| KARNA | MEDICARE ADVANTAGE | $505.24 | ↓ -17% |
| WELLCARE | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $548.30 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| VACCN | ALL PRODUCTS | $548.30 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $575.72 | ↓ -5% |
| UNITED HEALTHCARE | HMO | $598.35 | ↓ -1% |
| OXFORD | ALL PRODUCTS | $598.35 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $607.42 | ↑ +0% |
| CIGNA | HMO | $725.89 | ↑ +20% |
| CIGNA | PPO | $725.89 | ↑ +20% |
| INTERGROUP | SHARED SAVINGS | $774.20 | ↑ +27% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $774.20 | ↑ +27% |
| INTERGROUP | WORKERS COMP | $774.20 | ↑ +27% |
| HORIZON | WORKERS COMP | $808.49 | ↑ +33% |
| HORIZON | PIP | $808.49 | ↑ +33% |
| HORIZON | OMNIA | $813.79 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $829.50 | ↑ +37% |
| QUALCARE | HMO | $854.94 | ↑ +41% |
| QUALCARE | WORKERS COMP | $854.94 | ↑ +41% |
| QUALCARE | PPO | $854.94 | ↑ +41% |
| PRIME HEALTH | AUTO INSURANCE | $884.80 | ↑ +46% |
| PRIME HEALTH | WORKERS COMP | $884.80 | ↑ +46% |
| AETNA | ASA | $929.04 | ↑ +53% |
| AETNA | PPO | $929.04 | ↑ +53% |
| AETNA | HMO | $929.04 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $940.10 | ↑ +55% |
| HORIZON | SHP | $970.18 | ↑ +60% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $995.40 | ↑ +64% |
| HORIZON | HMO | $1,004.14 | ↑ +65% |
| HORIZON | INDEMNITY | $1,017.41 | ↑ +67% |
| HORIZON | PPO | $1,027.81 | ↑ +69% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $360.38 | $48.09 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $287.33 | $99.22 – $1,230.30 |
| Clara Maass Medical Center | Belleville | $337.73 | $99.22 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $282.45 | $99.22 – $1,230.30 |
| Monmouth Medical Center | Long Branch | $420.09 | $99.22 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $147.94 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $89.95 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $147.94 – $1,307.42 |