Lower Back (Lumbar Spine) X-ray at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
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.
$480.00
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.
$65.81 with AMERIHEALTH vs $446.06 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $65.81 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $72.85 | ↓ -38% |
| AETNA | MANAGED MEDICAID | $77.28 | ↓ -34% |
| KARNA | MEDICARE ADVANTAGE | $77.37 | ↓ -34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $82.51 | ↓ -30% |
| CLOVER | MEDICARE ADVANTAGE | $86.40 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $91.44 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $103.20 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| CIGNA | HMO | $106.34 | ↓ -10% |
| CIGNA | PPO | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $336.00 | ↑ +185% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $336.00 | ↑ +185% |
| INTERGROUP | WORKERS COMP | $336.00 | ↑ +185% |
| HORIZON | WORKERS COMP | $350.88 | ↑ +198% |
| HORIZON | PIP | $350.88 | ↑ +198% |
| HORIZON | OMNIA | $353.18 | ↑ +200% |
| BERGEN RISK | ALL PRODUCTS | $360.00 | ↑ +206% |
| QUALCARE | PPO | $371.04 | ↑ +215% |
| QUALCARE | WORKERS COMP | $371.04 | ↑ +215% |
| QUALCARE | HMO | $371.04 | ↑ +215% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $384.00 | ↑ +226% |
| PRIME HEALTH | AUTO INSURANCE | $384.00 | ↑ +226% |
| PRIME HEALTH | WORKERS COMP | $384.00 | ↑ +226% |
| AETNA | ASA | $403.20 | ↑ +242% |
| AETNA | PPO | $403.20 | ↑ +242% |
| AETNA | HMO | $403.20 | ↑ +242% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $408.00 | ↑ +246% |
| HORIZON | SHP | $421.06 | ↑ +257% |
| HORIZON | HMO | $435.79 | ↑ +270% |
| HORIZON | INDEMNITY | $441.55 | ↑ +275% |
| HORIZON | PPO | $446.06 | ↑ +279% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $100.04 | $20.82 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $112.94 | $36.08 – $238.62 |
| Community Medical Center | Toms River | $110.54 | $36.08 – $231.28 |
| Clara Maass Medical Center | Belleville | $106.01 | $36.08 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $145.50 | $22.00 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $111.02 | $21.43 – $238.62 |
| Jersey City Medical Center | Jersey City | $110.75 | $26.94 – $249.21 |
| Monmouth Medical Center | Long Branch | $116.62 | $36.08 – $234.22 |