Pelvic CT scan (without contrast) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
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.
$1,980.00
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.
$106.34 with HORIZON vs $1,840.01 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $261.64 | ↑ +122% |
| CIGNA | PPO | $261.67 | ↑ +122% |
| CIGNA | HMO | $261.67 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $281.42 | ↑ +139% |
| UNITED HEALTHCARE | HMO | $281.42 | ↑ +139% |
| AETNA | MANAGED MEDICAID | $318.78 | ↑ +171% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $340.36 | ↑ +189% |
| CLOVER | MEDICARE ADVANTAGE | $356.40 | ↑ +203% |
| HORIZON | MANAGED MEDICAID | $377.19 | ↑ +220% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $425.70 | ↑ +261% |
| AMERIHEALTH | REGIONAL HMO | $483.79 | ↑ +311% |
| AMERIHEALTH | LOCAL HMO | $535.57 | ↑ +355% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,366.20 | ↑ +1060% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,386.00 | ↑ +1076% |
| INTERGROUP | WORKERS COMP | $1,386.00 | ↑ +1076% |
| INTERGROUP | SHARED SAVINGS | $1,386.00 | ↑ +1076% |
| HORIZON | PIP | $1,447.38 | ↑ +1129% |
| HORIZON | WORKERS COMP | $1,447.38 | ↑ +1129% |
| HORIZON | OMNIA | $1,456.88 | ↑ +1137% |
| BERGEN RISK | ALL PRODUCTS | $1,485.00 | ↑ +1161% |
| QUALCARE | PPO | $1,530.54 | ↑ +1199% |
| QUALCARE | WORKERS COMP | $1,530.54 | ↑ +1199% |
| QUALCARE | HMO | $1,530.54 | ↑ +1199% |
| PRIME HEALTH | AUTO INSURANCE | $1,584.00 | ↑ +1245% |
| PRIME HEALTH | WORKERS COMP | $1,584.00 | ↑ +1245% |
| AETNA | HMO | $1,663.20 | ↑ +1312% |
| AETNA | ASA | $1,663.20 | ↑ +1312% |
| AETNA | PPO | $1,663.20 | ↑ +1312% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,683.00 | ↑ +1329% |
| HORIZON | SHP | $1,736.86 | ↑ +1374% |
| HORIZON | HMO | $1,797.64 | ↑ +1426% |
| HORIZON | INDEMNITY | $1,821.40 | ↑ +1446% |
| HORIZON | PPO | $1,840.01 | ↑ +1462% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $379.15 | $70.61 – $513.22 |
| Cooperman Barnabas Medical Center | Livingston | $428.03 | $119.31 – $726.00 |
| Community Medical Center | Toms River | $418.94 | $116.22 – $726.00 |
| Clara Maass Medical Center | Belleville | $401.77 | $119.31 – $726.00 |
| Childrens Specialized Hospital | Mountainside | $820.50 | $143.64 – $143.64 |
| Newark Beth Israel Medical Center | Newark | $420.76 | $72.69 – $726.00 |
| Jersey City Medical Center | Jersey City | $419.75 | $91.38 – $704.00 |
| Monmouth Medical Center | Long Branch | $441.97 | $117.70 – $726.00 |