Ophth Ultrasound b & quant a at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$142.80
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.
?
What you pay up front if you don't use insurance.
$351.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.51 with AETNA vs $326.18 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $56.51 | ↓ -60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $60.34 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $63.18 | ↓ -56% |
| HORIZON | MANAGED MEDICAID | $66.87 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $75.47 | ↓ -47% |
| CIGNA | HMO | $125.35 | ↓ -12% |
| CIGNA | PPO | $125.35 | ↓ -12% |
| AMERIGROUP | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -10% |
| KARNA | MEDICARE ADVANTAGE | $130.99 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.80 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $189.89 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $189.89 | ↑ +33% |
| AMERIHEALTH | REGIONAL HMO | $206.32 | ↑ +44% |
| AMERIHEALTH | LOCAL HMO | $228.40 | ↑ +60% |
| INTERGROUP | SHARED SAVINGS | $245.70 | ↑ +72% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $245.70 | ↑ +72% |
| INTERGROUP | WORKERS COMP | $245.70 | ↑ +72% |
| HORIZON | WORKERS COMP | $256.58 | ↑ +80% |
| HORIZON | PIP | $256.58 | ↑ +80% |
| HORIZON | OMNIA | $258.27 | ↑ +81% |
| BERGEN RISK | ALL PRODUCTS | $263.25 | ↑ +84% |
| QUALCARE | HMO | $271.32 | ↑ +90% |
| QUALCARE | WORKERS COMP | $271.32 | ↑ +90% |
| QUALCARE | PPO | $271.32 | ↑ +90% |
| PRIME HEALTH | AUTO INSURANCE | $280.80 | ↑ +97% |
| PRIME HEALTH | WORKERS COMP | $280.80 | ↑ +97% |
| AETNA | ASA | $294.84 | ↑ +106% |
| AETNA | PPO | $294.84 | ↑ +106% |
| AETNA | HMO | $294.84 | ↑ +106% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $298.35 | ↑ +109% |
| HORIZON | SHP | $307.90 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $315.90 | ↑ +121% |
| HORIZON | HMO | $318.67 | ↑ +123% |
| HORIZON | INDEMNITY | $322.88 | ↑ +126% |
| HORIZON | PPO | $326.18 | ↑ +128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $122.05 – $303.10 |
| Hackensack University Medical Center | Hackensack | $151.80 | $119.60 – $346.21 |
| Ocean University Medical Center | Brick | $140.87 | $122.05 – $303.10 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $122.05 – $343.97 |
| Palisades Medical Center | North Bergen | $151.80 | $122.05 – $303.10 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $122.05 – $303.10 |
| Riverview Medical Center | Red Bank | $142.67 | $122.05 – $303.10 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $122.05 – $230.73 |