Lower Back (Lumbar Spine) CT scan (with and without contrast) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$197.21
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.
?
What you pay up front if you don't use insurance.
$3,084.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$178.02 with HORIZON vs $2,865.96 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $178.02 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| VACCN | ALL PRODUCTS | $178.02 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $186.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.21 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $391.84 | ↑ +99% |
| CIGNA | PPO | $442.81 | ↑ +125% |
| CIGNA | HMO | $442.81 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $461.11 | ↑ +134% |
| UNITED HEALTHCARE | HMO | $461.11 | ↑ +134% |
| AETNA | MANAGED MEDICAID | $496.52 | ↑ +152% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $530.14 | ↑ +169% |
| CLOVER | MEDICARE ADVANTAGE | $555.12 | ↑ +181% |
| HORIZON | MANAGED MEDICAID | $587.50 | ↑ +198% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $663.06 | ↑ +236% |
| AMERIHEALTH | REGIONAL HMO | $693.68 | ↑ +252% |
| AMERIHEALTH | LOCAL HMO | $767.91 | ↑ +289% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,127.96 | ↑ +979% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,158.80 | ↑ +995% |
| INTERGROUP | WORKERS COMP | $2,158.80 | ↑ +995% |
| INTERGROUP | SHARED SAVINGS | $2,158.80 | ↑ +995% |
| HORIZON | PIP | $2,254.40 | ↑ +1043% |
| HORIZON | WORKERS COMP | $2,254.40 | ↑ +1043% |
| HORIZON | OMNIA | $2,269.21 | ↑ +1051% |
| BERGEN RISK | ALL PRODUCTS | $2,313.00 | ↑ +1073% |
| QUALCARE | PPO | $2,383.93 | ↑ +1109% |
| QUALCARE | WORKERS COMP | $2,383.93 | ↑ +1109% |
| QUALCARE | HMO | $2,383.93 | ↑ +1109% |
| PRIME HEALTH | AUTO INSURANCE | $2,467.20 | ↑ +1151% |
| PRIME HEALTH | WORKERS COMP | $2,467.20 | ↑ +1151% |
| AETNA | HMO | $2,590.56 | ↑ +1214% |
| AETNA | ASA | $2,590.56 | ↑ +1214% |
| AETNA | PPO | $2,590.56 | ↑ +1214% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,621.40 | ↑ +1229% |
| HORIZON | SHP | $2,705.28 | ↑ +1272% |
| HORIZON | HMO | $2,799.96 | ↑ +1320% |
| HORIZON | INDEMNITY | $2,836.97 | ↑ +1339% |
| HORIZON | PPO | $2,865.96 | ↑ +1353% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $521.43 | $105.52 – $735.87 |
| Cooperman Barnabas Medical Center | Livingston | $592.89 | $199.72 – $726.00 |
| Clara Maass Medical Center | Belleville | $807.13 | $199.72 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $582.82 | $108.62 – $726.00 |
| Jersey City Medical Center | Jersey City | $577.26 | $136.55 – $704.00 |
| Monmouth Medical Center | Long Branch | $607.82 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $1,762.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $3,036.82 |