healthcosts.net
Knee X-ray at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$106.34
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.
$726.00
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.
$91.83 with KARNA vs $617.10 with MULTIPLAN - PHCS — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $91.83 | ↓ -14% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $106.34 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↑ +5% |
| CIGNA | HMO | $129.17 | ↑ +21% |
| CIGNA | PPO | $129.17 | ↑ +21% |
| HORIZON | MANAGED MEDICAID | $138.30 | ↑ +30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $156.09 | ↑ +47% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $508.20 | ↑ +378% |
| INTERGROUP | SHARED SAVINGS | $508.20 | ↑ +378% |
| INTERGROUP | WORKERS COMP | $508.20 | ↑ +378% |
| QUALCARE | HMO | $561.20 | ↑ +428% |
| QUALCARE | PPO | $561.20 | ↑ +428% |
| QUALCARE | WORKERS COMP | $561.20 | ↑ +428% |
| PRIME HEALTH | AUTO INSURANCE | $580.80 | ↑ +446% |
| PRIME HEALTH | WORKERS COMP | $580.80 | ↑ +446% |
| AETNA | ASA | $609.84 | ↑ +473% |
| AETNA | HMO | $609.84 | ↑ +473% |
| AETNA | PPO | $609.84 | ↑ +473% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $617.10 | ↑ +480% |
Visitor-reported prices
Comments
Knee X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $323.60 | $117.31 – $117.31 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $687.65 |
| Hackensack University Medical Center | Hackensack | $125.23 | $36.80 – $640.33 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $647.20 |