In-111 pentetate dtpa / 0.5 mci at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$715.29
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.
$7,177.50
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 $2,741.81 with QUALCARE — 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 | ASA | $0.01 | ↓ -100% |
| AETNA | HMO | $0.01 | ↓ -100% |
| AETNA | PPO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $208.38 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $222.49 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $232.97 | ↓ -67% |
| CIGNA | HMO | $407.70 | ↓ -43% |
| CIGNA | PPO | $407.70 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $411.84 | ↓ -42% |
| AMERIHEALTH | REGIONAL HMO | $411.84 | ↓ -42% |
| WELLCARE | MANAGED MEDICAID | $582.42 | ↓ -19% |
| WELLCARE | MEDICARE ADVANTAGE | $582.42 | ↓ -19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $647.14 | ↓ -10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $647.14 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $715.29 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $715.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $715.29 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $715.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $715.29 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $730.57 | ↑ +2% |
| UNITED HEALTHCARE | HMO | $731.26 | ↑ +2% |
| OXFORD | ALL PRODUCTS | $731.26 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $751.05 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $776.56 | ↑ +9% |
| INTERGROUP | SHARED SAVINGS | $905.99 | ↑ +27% |
| INTERGROUP | WORKERS COMP | $905.99 | ↑ +27% |
| HORIZON | WORKERS COMP | $946.11 | ↑ +32% |
| HORIZON | PIP | $946.11 | ↑ +32% |
| HORIZON | OMNIA | $952.32 | ↑ +33% |
| KARNA | MEDICARE ADVANTAGE | $989.79 | ↑ +38% |
| PRIME HEALTH | AUTO INSURANCE | $1,035.42 | ↑ +45% |
| PRIME HEALTH | WORKERS COMP | $1,035.42 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,100.13 | ↑ +54% |
| HORIZON | SHP | $1,135.33 | ↑ +59% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,164.84 | ↑ +63% |
| HORIZON | HMO | $1,175.07 | ↑ +64% |
| HORIZON | INDEMNITY | $1,190.60 | ↑ +66% |
| HORIZON | PPO | $1,202.77 | ↑ +68% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,929.01 | ↑ +170% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $2,143.77 | ↑ +200% |
| QUALCARE | WORKERS COMP | $2,741.81 | ↑ +283% |
| QUALCARE | PPO | $2,741.81 | ↑ +283% |
| QUALCARE | HMO | $2,741.81 | ↑ +283% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
In-111 pentetate dtpa / 0.5 mci at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $715.29 | $715.29 – $858.35 |
| Hackensack University Medical Center | Hackensack | $715.29 | $572.23 – $989.79 |
| Ocean University Medical Center | Brick | $715.29 | $0.01 – $969.32 |
| Jersey Shore University Medical Center | Neptune City | $715.29 | $715.29 – $969.32 |
| Palisades Medical Center | North Bergen | $715.29 | $715.29 – $989.79 |
| Raritan Bay Medical Center | Perth Amboy | $715.29 | $715.29 – $989.79 |
| Riverview Medical Center | Red Bank | $715.29 | $715.29 – $969.32 |
| Southern Ocean Medical Center | Manahawkin | $715.29 | $715.29 – $969.32 |