Hc nm cardiac blood pool planar 1 stdy wal motn eject fract at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$596.31
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.
$1,871.00
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.
$301.23 with AETNA vs $1,738.72 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 | $301.23 | ↓ -49% |
| KARNA | MEDICARE ADVANTAGE | $319.49 | ↓ -46% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $321.62 | ↓ -46% |
| CLOVER | MEDICARE ADVANTAGE | $336.78 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $356.43 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $402.27 | ↓ -33% |
| AMERIHEALTH | REGIONAL HMO | $432.21 | ↓ -28% |
| AMERIHEALTH | LOCAL HMO | $478.47 | ↓ -20% |
| CIGNA | HMO | $487.48 | ↓ -18% |
| CIGNA | PPO | $487.48 | ↓ -18% |
| VACCN | ALL PRODUCTS | $538.27 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $538.27 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $565.18 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,309.70 | ↑ +120% |
| INTERGROUP | WORKERS COMP | $1,309.70 | ↑ +120% |
| INTERGROUP | SHARED SAVINGS | $1,309.70 | ↑ +120% |
| HORIZON | PIP | $1,367.70 | ↑ +129% |
| HORIZON | WORKERS COMP | $1,367.70 | ↑ +129% |
| HORIZON | OMNIA | $1,376.68 | ↑ +131% |
| BERGEN RISK | ALL PRODUCTS | $1,403.25 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $1,403.35 | ↑ +135% |
| OXFORD | ALL PRODUCTS | $1,403.35 | ↑ +135% |
| QUALCARE | HMO | $1,446.28 | ↑ +143% |
| QUALCARE | PPO | $1,446.28 | ↑ +143% |
| QUALCARE | WORKERS COMP | $1,446.28 | ↑ +143% |
| PRIME HEALTH | AUTO INSURANCE | $1,496.80 | ↑ +151% |
| PRIME HEALTH | WORKERS COMP | $1,496.80 | ↑ +151% |
| AETNA | ASA | $1,571.64 | ↑ +164% |
| AETNA | PPO | $1,571.64 | ↑ +164% |
| AETNA | HMO | $1,571.64 | ↑ +164% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,590.35 | ↑ +167% |
| HORIZON | SHP | $1,641.24 | ↑ +175% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,683.90 | ↑ +182% |
| HORIZON | HMO | $1,698.68 | ↑ +185% |
| HORIZON | INDEMNITY | $1,721.13 | ↑ +189% |
| HORIZON | PPO | $1,738.72 | ↑ +192% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $436.40 | $86.00 – $1,176.52 |
| Community Medical Center | Toms River | $482.20 | $194.18 – $1,170.64 |
| Bayshore Medical Center | Holmdel | $595.79 | $371.92 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $176.03 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $303.95 – $1,325.05 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $303.95 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $194.18 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $266.40 – $1,325.05 |