Liver imag w/vasclr flow 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.
$2,798.00
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.
$379.59 with KARNA vs $2,600.18 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $379.59 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $394.86 | ↓ -34% |
| AMERIHEALTH | LOCAL HMO | $437.12 | ↓ -27% |
| AETNA | MANAGED MEDICAID | $450.48 | ↓ -24% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $480.98 | ↓ -19% |
| CLOVER | MEDICARE ADVANTAGE | $503.64 | ↓ -16% |
| HORIZON | MANAGED MEDICAID | $533.02 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $538.27 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| VACCN | ALL PRODUCTS | $538.27 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $565.18 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $601.57 | ↑ +1% |
| CIGNA | PPO | $692.92 | ↑ +16% |
| CIGNA | HMO | $692.92 | ↑ +16% |
| OXFORD | ALL PRODUCTS | $1,403.35 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $1,403.35 | ↑ +135% |
| INTERGROUP | SHARED SAVINGS | $1,958.60 | ↑ +228% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,958.60 | ↑ +228% |
| INTERGROUP | WORKERS COMP | $1,958.60 | ↑ +228% |
| HORIZON | WORKERS COMP | $2,045.34 | ↑ +243% |
| HORIZON | PIP | $2,045.34 | ↑ +243% |
| HORIZON | OMNIA | $2,058.77 | ↑ +245% |
| BERGEN RISK | ALL PRODUCTS | $2,098.50 | ↑ +252% |
| QUALCARE | HMO | $2,162.85 | ↑ +263% |
| QUALCARE | WORKERS COMP | $2,162.85 | ↑ +263% |
| QUALCARE | PPO | $2,162.85 | ↑ +263% |
| PRIME HEALTH | AUTO INSURANCE | $2,238.40 | ↑ +275% |
| PRIME HEALTH | WORKERS COMP | $2,238.40 | ↑ +275% |
| AETNA | ASA | $2,350.32 | ↑ +294% |
| AETNA | PPO | $2,350.32 | ↑ +294% |
| AETNA | HMO | $2,350.32 | ↑ +294% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,378.30 | ↑ +299% |
| HORIZON | SHP | $2,454.41 | ↑ +312% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,518.20 | ↑ +322% |
| HORIZON | HMO | $2,540.30 | ↑ +326% |
| HORIZON | INDEMNITY | $2,573.88 | ↑ +332% |
| HORIZON | PPO | $2,600.18 | ↑ +336% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Liver imag w/vasclr flow at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $543.57 | $101.75 – $1,176.52 |
| Bayshore Medical Center | Holmdel | $595.79 | $215.07 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $98.12 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $215.07 – $1,325.05 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $215.07 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $108.24 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $148.50 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $92.40 – $1,325.05 |