Myelography l-s spine at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$875.24
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.
$1,983.00
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.
$209.49 with KARNA vs $2,050.78 with OXFORD — 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 | $209.49 | ↓ -76% |
| CIGNA | PPO | $254.71 | ↓ -71% |
| CIGNA | HMO | $254.71 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $319.26 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $340.88 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $356.94 | ↓ -59% |
| HORIZON | MANAGED MEDICAID | $377.76 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $426.35 | ↓ -51% |
| WELLCARE | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| VACCN | ALL PRODUCTS | $790.06 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $790.06 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $829.56 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $875.24 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $1,388.10 | ↑ +59% |
| INTERGROUP | WORKERS COMP | $1,388.10 | ↑ +59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,388.10 | ↑ +59% |
| HORIZON | PIP | $1,449.57 | ↑ +66% |
| HORIZON | WORKERS COMP | $1,449.57 | ↑ +66% |
| HORIZON | OMNIA | $1,459.09 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $1,487.25 | ↑ +70% |
| QUALCARE | WORKERS COMP | $1,532.86 | ↑ +75% |
| QUALCARE | PPO | $1,532.86 | ↑ +75% |
| QUALCARE | HMO | $1,532.86 | ↑ +75% |
| PRIME HEALTH | AUTO INSURANCE | $1,586.40 | ↑ +81% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,586.40 | ↑ +81% |
| PRIME HEALTH | WORKERS COMP | $1,586.40 | ↑ +81% |
| AETNA | ASA | $1,665.72 | ↑ +90% |
| AETNA | PPO | $1,665.72 | ↑ +90% |
| AETNA | HMO | $1,665.72 | ↑ +90% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,685.55 | ↑ +93% |
| HORIZON | SHP | $1,739.49 | ↑ +99% |
| HORIZON | HMO | $1,800.37 | ↑ +106% |
| HORIZON | INDEMNITY | $1,824.16 | ↑ +108% |
| HORIZON | PPO | $1,842.80 | ↑ +111% |
| AMERIHEALTH | LOCAL HMO | $1,875.92 | ↑ +114% |
| AMERIHEALTH | REGIONAL HMO | $1,875.92 | ↑ +114% |
| UNITED HEALTHCARE | HMO | $2,050.78 | ↑ +134% |
| OXFORD | ALL PRODUCTS | $2,050.78 | ↑ +134% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Myelography l-s spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $407.30 | $56.51 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $463.42 | $91.84 – $1,772.76 |
| Community Medical Center | Toms River | $450.05 | $91.84 – $1,718.25 |
| Clara Maass Medical Center | Belleville | $337.53 | $91.84 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $455.55 | $58.17 – $1,772.76 |
| Monmouth Medical Center | Long Branch | $474.79 | $91.84 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $142.56 – $1,936.35 |
| Hackensack University Medical Center | Hackensack | $930.42 | $83.26 – $2,211.69 |