MRI breast without cont bi at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$267.78
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.
$5,060.00
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.
$241.72 with WELLCARE vs $4,702.26 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -10% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $433.13 | ↑ +62% |
| CIGNA | PPO | $483.97 | ↑ +81% |
| CIGNA | HMO | $483.97 | ↑ +81% |
| UNITED HEALTHCARE | HMO | $594.31 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $594.31 | ↑ +122% |
| AETNA | MANAGED MEDICAID | $814.66 | ↑ +204% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $869.81 | ↑ +225% |
| CLOVER | MEDICARE ADVANTAGE | $910.80 | ↑ +240% |
| HORIZON | MANAGED MEDICAID | $963.93 | ↑ +260% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,087.90 | ↑ +306% |
| AMERIHEALTH | REGIONAL HMO | $1,266.40 | ↑ +373% |
| AMERIHEALTH | LOCAL HMO | $1,401.93 | ↑ +424% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,491.40 | ↑ +1204% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,542.00 | ↑ +1223% |
| INTERGROUP | SHARED SAVINGS | $3,542.00 | ↑ +1223% |
| INTERGROUP | WORKERS COMP | $3,542.00 | ↑ +1223% |
| HORIZON | PIP | $3,698.86 | ↑ +1281% |
| HORIZON | WORKERS COMP | $3,698.86 | ↑ +1281% |
| HORIZON | OMNIA | $3,723.15 | ↑ +1290% |
| QUALCARE | HMO | $3,911.38 | ↑ +1361% |
| QUALCARE | PPO | $3,911.38 | ↑ +1361% |
| QUALCARE | WORKERS COMP | $3,911.38 | ↑ +1361% |
| PRIME HEALTH | AUTO INSURANCE | $4,048.00 | ↑ +1412% |
| PRIME HEALTH | WORKERS COMP | $4,048.00 | ↑ +1412% |
| AETNA | PPO | $4,250.40 | ↑ +1487% |
| AETNA | ASA | $4,250.40 | ↑ +1487% |
| AETNA | HMO | $4,250.40 | ↑ +1487% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,301.00 | ↑ +1506% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1518% |
| HORIZON | SHP | $4,438.63 | ↑ +1558% |
| HORIZON | HMO | $4,593.97 | ↑ +1616% |
| HORIZON | INDEMNITY | $4,654.69 | ↑ +1638% |
| HORIZON | PPO | $4,702.26 | ↑ +1656% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast without cont bi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $626.91 | $116.76 – $1,343.43 |
| Community Medical Center | Toms River | $692.71 | $187.24 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $921.51 | $120.19 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $694.05 | $151.10 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $730.79 | $187.24 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $169.74 – $4,332.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $4,332.00 |