MRI upper extremity w/dye at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$395.64
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.
$4,235.00
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.
$357.13 with WELLCARE vs $4,332.00 with BERGEN RISK — 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 | $357.13 | ↓ -10% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $661.64 | ↑ +67% |
| AETNA | MANAGED MEDICAID | $681.84 | ↑ +72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $728.00 | ↑ +84% |
| CLOVER | MEDICARE ADVANTAGE | $762.30 | ↑ +93% |
| HORIZON | MANAGED MEDICAID | $806.77 | ↑ +104% |
| CIGNA | PPO | $863.97 | ↑ +118% |
| CIGNA | HMO | $863.97 | ↑ +118% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $910.53 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $950.67 | ↑ +140% |
| OXFORD | ALL PRODUCTS | $950.67 | ↑ +140% |
| AMERIHEALTH | REGIONAL HMO | $978.26 | ↑ +147% |
| AMERIHEALTH | LOCAL HMO | $1,082.95 | ↑ +174% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,922.15 | ↑ +639% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,964.50 | ↑ +649% |
| INTERGROUP | SHARED SAVINGS | $2,964.50 | ↑ +649% |
| INTERGROUP | WORKERS COMP | $2,964.50 | ↑ +649% |
| HORIZON | PIP | $3,095.79 | ↑ +682% |
| HORIZON | WORKERS COMP | $3,095.79 | ↑ +682% |
| HORIZON | OMNIA | $3,116.11 | ↑ +688% |
| QUALCARE | HMO | $3,273.66 | ↑ +727% |
| QUALCARE | PPO | $3,273.66 | ↑ +727% |
| QUALCARE | WORKERS COMP | $3,273.66 | ↑ +727% |
| PRIME HEALTH | AUTO INSURANCE | $3,388.00 | ↑ +756% |
| PRIME HEALTH | WORKERS COMP | $3,388.00 | ↑ +756% |
| AETNA | PPO | $3,557.40 | ↑ +799% |
| AETNA | ASA | $3,557.40 | ↑ +799% |
| AETNA | HMO | $3,557.40 | ↑ +799% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,599.75 | ↑ +810% |
| HORIZON | SHP | $3,714.94 | ↑ +839% |
| HORIZON | HMO | $3,844.96 | ↑ +872% |
| HORIZON | INDEMNITY | $3,895.78 | ↑ +885% |
| HORIZON | PPO | $3,935.59 | ↑ +895% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +995% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
MRI upper extremity w/dye at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $336.46 – $4,332.00 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $395.29 – $4,332.00 |
| Palisades Medical Center | North Bergen | $420.58 | $420.58 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $395.64 – $4,332.00 |
| Riverview Medical Center | Red Bank | $395.29 | $395.29 – $4,332.00 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $390.30 – $4,332.00 |