F-18 fluciclovine per mci at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$268.42
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.
$1,631.52
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.
$0.01 with AETNA vs $1,128.17 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 | PPO | $0.01 | ↓ -100% |
| AETNA | ASA | $0.01 | ↓ -100% |
| AETNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $195.45 | ↓ -27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $208.69 | ↓ -22% |
| CLOVER | MEDICARE ADVANTAGE | $218.52 | ↓ -19% |
| HORIZON | MANAGED MEDICAID | $231.27 | ↓ -14% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $261.01 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $268.42 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $268.42 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $268.42 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $268.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $268.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $268.42 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $268.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $281.84 | ↑ +5% |
| CIGNA | PPO | $382.41 | ↑ +42% |
| CIGNA | HMO | $382.41 | ↑ +42% |
| AMERIHEALTH | LOCAL HMO | $519.15 | ↑ +93% |
| AMERIHEALTH | REGIONAL HMO | $519.15 | ↑ +93% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $610.64 | ↑ +127% |
| QUALCARE | WORKERS COMP | $623.24 | ↑ +132% |
| QUALCARE | PPO | $623.24 | ↑ +132% |
| QUALCARE | HMO | $623.24 | ↑ +132% |
| UNITED HEALTHCARE | HMO | $656.77 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $656.77 | ↑ +145% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $678.63 | ↑ +153% |
| KARNA | MEDICARE ADVANTAGE | $794.00 | ↑ +196% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $815.76 | ↑ +204% |
| INTERGROUP | SHARED SAVINGS | $849.80 | ↑ +217% |
| INTERGROUP | WORKERS COMP | $849.80 | ↑ +217% |
| HORIZON | PIP | $887.43 | ↑ +231% |
| HORIZON | WORKERS COMP | $887.43 | ↑ +231% |
| HORIZON | OMNIA | $893.26 | ↑ +233% |
| BERGEN RISK | ALL PRODUCTS | $910.50 | ↑ +239% |
| PRIME HEALTH | AUTO INSURANCE | $971.20 | ↑ +262% |
| PRIME HEALTH | WORKERS COMP | $971.20 | ↑ +262% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,031.90 | ↑ +284% |
| HORIZON | SHP | $1,064.92 | ↑ +297% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,092.60 | ↑ +307% |
| HORIZON | HMO | $1,102.19 | ↑ +311% |
| HORIZON | INDEMNITY | $1,116.76 | ↑ +316% |
| HORIZON | PPO | $1,128.17 | ↑ +320% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
F-18 fluciclovine per mci at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $268.42 | $268.42 – $322.10 |
| Hackensack University Medical Center | Hackensack | $268.42 | $214.74 – $794.00 |
| Ocean University Medical Center | Brick | $268.42 | $0.01 – $777.58 |
| Jersey Shore University Medical Center | Neptune City | $268.42 | $268.42 – $777.58 |
| Palisades Medical Center | North Bergen | $268.42 | $268.42 – $794.00 |
| Raritan Bay Medical Center | Perth Amboy | $268.42 | $268.42 – $794.00 |
| Riverview Medical Center | Red Bank | $268.42 | $268.42 – $777.58 |
| Southern Ocean Medical Center | Manahawkin | $268.42 | $268.42 – $777.58 |