Echo exam of fetal heart 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.
$630.00
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.
$101.43 with AETNA vs $585.46 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 | $101.43 | ↓ -14% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $108.30 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| CLOVER | MEDICARE ADVANTAGE | $113.40 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $120.02 | ↑ +2% |
| KARNA | MEDICARE ADVANTAGE | $134.26 | ↑ +14% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $135.45 | ↑ +15% |
| CIGNA | HMO | $169.75 | ↑ +44% |
| CIGNA | PPO | $169.75 | ↑ +44% |
| AMERIHEALTH | REGIONAL HMO | $199.21 | ↑ +69% |
| AMERIHEALTH | LOCAL HMO | $220.53 | ↑ +87% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $441.00 | ↑ +274% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $441.00 | ↑ +274% |
| INTERGROUP | WORKERS COMP | $441.00 | ↑ +274% |
| HORIZON | WORKERS COMP | $460.53 | ↑ +291% |
| HORIZON | PIP | $460.53 | ↑ +291% |
| HORIZON | OMNIA | $463.55 | ↑ +293% |
| BERGEN RISK | ALL PRODUCTS | $472.50 | ↑ +301% |
| QUALCARE | HMO | $486.99 | ↑ +313% |
| QUALCARE | WORKERS COMP | $486.99 | ↑ +313% |
| QUALCARE | PPO | $486.99 | ↑ +313% |
| PRIME HEALTH | AUTO INSURANCE | $504.00 | ↑ +328% |
| PRIME HEALTH | WORKERS COMP | $504.00 | ↑ +328% |
| AETNA | ASA | $529.20 | ↑ +349% |
| AETNA | PPO | $529.20 | ↑ +349% |
| AETNA | HMO | $529.20 | ↑ +349% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $535.50 | ↑ +355% |
| HORIZON | SHP | $552.64 | ↑ +369% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $567.00 | ↑ +381% |
| HORIZON | HMO | $571.98 | ↑ +386% |
| HORIZON | INDEMNITY | $579.54 | ↑ +392% |
| HORIZON | PPO | $585.46 | ↑ +397% |
| 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 | $133.07 | $36.24 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $259.57 | $69.06 – $238.62 |
| Clara Maass Medical Center | Belleville | $265.92 | $69.06 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $255.16 | $37.31 – $238.62 |
| Jersey City Medical Center | Jersey City | $147.33 | $46.90 – $249.21 |
| Monmouth Medical Center | Long Branch | $155.12 | $92.08 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $98.12 – $337.00 |