Hc nm myocard infarct avid plnr tomo spect w/wo quant 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.
$1,785.00
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.
$287.39 with AETNA vs $1,658.80 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 | $287.39 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $306.84 | ↓ -49% |
| CLOVER | MEDICARE ADVANTAGE | $321.30 | ↓ -46% |
| HORIZON | MANAGED MEDICAID | $340.04 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $383.78 | ↓ -36% |
| KARNA | MEDICARE ADVANTAGE | $398.71 | ↓ -33% |
| AMERIHEALTH | REGIONAL HMO | $444.66 | ↓ -25% |
| AMERIHEALTH | LOCAL HMO | $492.25 | ↓ -17% |
| HORIZON | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| VACCN | ALL PRODUCTS | $538.27 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| AETNA | 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% |
| CIGNA | HMO | $658.67 | ↑ +10% |
| CIGNA | PPO | $658.67 | ↑ +10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,249.50 | ↑ +110% |
| INTERGROUP | WORKERS COMP | $1,249.50 | ↑ +110% |
| INTERGROUP | SHARED SAVINGS | $1,249.50 | ↑ +110% |
| HORIZON | PIP | $1,304.84 | ↑ +119% |
| HORIZON | WORKERS COMP | $1,304.84 | ↑ +119% |
| HORIZON | OMNIA | $1,313.40 | ↑ +120% |
| BERGEN RISK | ALL PRODUCTS | $1,338.75 | ↑ +125% |
| QUALCARE | PPO | $1,379.81 | ↑ +131% |
| QUALCARE | WORKERS COMP | $1,379.81 | ↑ +131% |
| QUALCARE | HMO | $1,379.81 | ↑ +131% |
| OXFORD | ALL PRODUCTS | $1,403.35 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $1,403.35 | ↑ +135% |
| PRIME HEALTH | WORKERS COMP | $1,428.00 | ↑ +139% |
| PRIME HEALTH | AUTO INSURANCE | $1,428.00 | ↑ +139% |
| AETNA | ASA | $1,499.40 | ↑ +151% |
| AETNA | PPO | $1,499.40 | ↑ +151% |
| AETNA | HMO | $1,499.40 | ↑ +151% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,517.25 | ↑ +154% |
| HORIZON | SHP | $1,565.80 | ↑ +163% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,606.50 | ↑ +169% |
| HORIZON | HMO | $1,620.60 | ↑ +172% |
| HORIZON | INDEMNITY | $1,642.02 | ↑ +175% |
| HORIZON | PPO | $1,658.80 | ↑ +178% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hc nm myocard infarct avid plnr tomo spect w/wo quant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $573.61 | $191.45 – $1,207.80 |
| Community Medical Center | Toms River | $551.68 | $191.45 – $1,170.64 |
| Clara Maass Medical Center | Belleville | $489.09 | $191.45 – $1,201.76 |
| Bayshore Medical Center | Holmdel | $595.79 | $391.34 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $173.56 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $378.59 – $1,325.05 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $378.59 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $191.45 – $1,325.05 |