I-123 ioflupane diag at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,388.02
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.
$6,296.00
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.
$0.01 with AETNA vs $5,850.87 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 | $1,013.66 | ↓ -27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,082.28 | ↓ -22% |
| CLOVER | MEDICARE ADVANTAGE | $1,133.28 | ↓ -18% |
| HORIZON | MANAGED MEDICAID | $1,199.39 | ↓ -14% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,353.64 | ↓ -2% |
| HORIZON | MEDICARE ADVANTAGE | $1,388.02 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,388.02 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,388.02 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,388.02 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,388.02 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,388.02 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $1,388.02 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,457.42 | ↑ +5% |
| CIGNA | HMO | $1,983.24 | ↑ +43% |
| CIGNA | PPO | $1,983.24 | ↑ +43% |
| AMERIHEALTH | REGIONAL HMO | $2,789.76 | ↑ +101% |
| AMERIHEALTH | LOCAL HMO | $2,789.76 | ↑ +101% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $3,166.89 | ↑ +128% |
| UNITED HEALTHCARE | HMO | $3,406.14 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $3,406.14 | ↑ +145% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $3,519.46 | ↑ +154% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,407.20 | ↑ +218% |
| INTERGROUP | SHARED SAVINGS | $4,407.20 | ↑ +218% |
| INTERGROUP | WORKERS COMP | $4,407.20 | ↑ +218% |
| HORIZON | WORKERS COMP | $4,602.38 | ↑ +232% |
| HORIZON | PIP | $4,602.38 | ↑ +232% |
| HORIZON | OMNIA | $4,632.60 | ↑ +234% |
| BERGEN RISK | ALL PRODUCTS | $4,722.00 | ↑ +240% |
| PRIME HEALTH | AUTO INSURANCE | $5,036.80 | ↑ +263% |
| PRIME HEALTH | WORKERS COMP | $5,036.80 | ↑ +263% |
| KARNA | MEDICARE ADVANTAGE | $5,266.92 | ↑ +279% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,351.60 | ↑ +286% |
| HORIZON | SHP | $5,522.85 | ↑ +298% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,666.40 | ↑ +308% |
| HORIZON | HMO | $5,716.14 | ↑ +312% |
| HORIZON | INDEMNITY | $5,791.69 | ↑ +317% |
| QUALCARE | WORKERS COMP | $5,830.10 | ↑ +320% |
| QUALCARE | HMO | $5,830.10 | ↑ +320% |
| QUALCARE | PPO | $5,830.10 | ↑ +320% |
| HORIZON | PPO | $5,850.87 | ↑ +322% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
I-123 ioflupane diag at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,388.02 | $1,388.02 – $1,665.62 |
| Hackensack University Medical Center | Hackensack | $1,388.02 | $1,110.42 – $5,266.92 |
| Ocean University Medical Center | Brick | $1,388.02 | $0.01 – $5,158.02 |
| Jersey Shore University Medical Center | Neptune City | $1,388.02 | $1,388.02 – $5,158.02 |
| Palisades Medical Center | North Bergen | $1,388.02 | $1,388.02 – $5,266.92 |
| Raritan Bay Medical Center | Perth Amboy | $1,388.02 | $1,388.02 – $5,266.92 |
| Riverview Medical Center | Red Bank | $1,388.02 | $1,388.02 – $5,158.02 |
| Southern Ocean Medical Center | Manahawkin | $1,388.02 | $1,388.02 – $5,158.02 |