Nuclear exam of tear flow at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$445.16
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.
$1,252.00
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.
$197.43 with AMERIHEALTH vs $1,163.48 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 | $197.43 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $201.57 | ↓ -55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $215.22 | ↓ -52% |
| AMERIHEALTH | LOCAL HMO | $218.56 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $225.36 | ↓ -49% |
| HORIZON | MANAGED MEDICAID | $238.51 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $257.96 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $269.18 | ↓ -40% |
| VACCN | ALL PRODUCTS | $401.83 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $401.83 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $421.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| CIGNA | HMO | $611.75 | ↑ +37% |
| CIGNA | PPO | $611.75 | ↑ +37% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $876.40 | ↑ +97% |
| INTERGROUP | WORKERS COMP | $876.40 | ↑ +97% |
| INTERGROUP | SHARED SAVINGS | $876.40 | ↑ +97% |
| HORIZON | PIP | $915.21 | ↑ +106% |
| HORIZON | WORKERS COMP | $915.21 | ↑ +106% |
| HORIZON | OMNIA | $921.22 | ↑ +107% |
| BERGEN RISK | ALL PRODUCTS | $939.00 | ↑ +111% |
| QUALCARE | WORKERS COMP | $967.80 | ↑ +117% |
| QUALCARE | PPO | $967.80 | ↑ +117% |
| QUALCARE | HMO | $967.80 | ↑ +117% |
| PRIME HEALTH | AUTO INSURANCE | $1,001.60 | ↑ +125% |
| PRIME HEALTH | WORKERS COMP | $1,001.60 | ↑ +125% |
| AETNA | ASA | $1,051.68 | ↑ +136% |
| AETNA | PPO | $1,051.68 | ↑ +136% |
| AETNA | HMO | $1,051.68 | ↑ +136% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,064.20 | ↑ +139% |
| UNITED HEALTHCARE | HMO | $1,081.39 | ↑ +143% |
| OXFORD | ALL PRODUCTS | $1,081.39 | ↑ +143% |
| HORIZON | SHP | $1,098.25 | ↑ +147% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,126.80 | ↑ +153% |
| HORIZON | HMO | $1,136.69 | ↑ +155% |
| HORIZON | INDEMNITY | $1,151.71 | ↑ +159% |
| HORIZON | PPO | $1,163.48 | ↑ +161% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear exam of tear flow at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $444.77 | $159.30 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $65.41 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $159.30 – $1,021.05 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $159.30 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $72.16 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $99.00 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $61.60 – $1,021.05 |
| Southern Ocean Medical Center | Manahawkin | $439.15 | $159.30 – $595.65 |