Pelvic Ultrasound (complete) 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.
$1,221.00
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 WELLCARE vs $1,134.68 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| HORIZON | 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% |
| AMERIHEALTH | REGIONAL HMO | $165.42 | ↑ +40% |
| AMERIHEALTH | LOCAL HMO | $183.12 | ↑ +55% |
| AETNA | MANAGED MEDICAID | $196.58 | ↑ +67% |
| KARNA | MEDICARE ADVANTAGE | $203.18 | ↑ +72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $209.89 | ↑ +78% |
| CLOVER | MEDICARE ADVANTAGE | $219.78 | ↑ +87% |
| HORIZON | MANAGED MEDICAID | $232.60 | ↑ +97% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $262.52 | ↑ +123% |
| CIGNA | HMO | $283.89 | ↑ +141% |
| CIGNA | PPO | $283.89 | ↑ +141% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $854.70 | ↑ +625% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $854.70 | ↑ +625% |
| INTERGROUP | WORKERS COMP | $854.70 | ↑ +625% |
| HORIZON | WORKERS COMP | $892.55 | ↑ +658% |
| HORIZON | PIP | $892.55 | ↑ +658% |
| HORIZON | OMNIA | $898.41 | ↑ +663% |
| BERGEN RISK | ALL PRODUCTS | $915.75 | ↑ +677% |
| QUALCARE | HMO | $943.83 | ↑ +701% |
| QUALCARE | WORKERS COMP | $943.83 | ↑ +701% |
| QUALCARE | PPO | $943.83 | ↑ +701% |
| PRIME HEALTH | AUTO INSURANCE | $976.80 | ↑ +729% |
| PRIME HEALTH | WORKERS COMP | $976.80 | ↑ +729% |
| AETNA | ASA | $1,025.64 | ↑ +771% |
| AETNA | PPO | $1,025.64 | ↑ +771% |
| AETNA | HMO | $1,025.64 | ↑ +771% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,037.85 | ↑ +781% |
| HORIZON | SHP | $1,071.06 | ↑ +809% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,098.90 | ↑ +833% |
| HORIZON | HMO | $1,108.55 | ↑ +841% |
| HORIZON | INDEMNITY | $1,123.20 | ↑ +853% |
| HORIZON | PPO | $1,134.68 | ↑ +863% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $213.60 | $54.72 – $381.91 |
| Cooperman Barnabas Medical Center | Livingston | $237.53 | $108.24 – $381.91 |
| Community Medical Center | Toms River | $236.02 | $108.24 – $381.91 |
| Clara Maass Medical Center | Belleville | $240.27 | $108.24 – $381.91 |
| Childrens Specialized Hospital | Mountainside | $363.00 | $66.00 – $66.00 |
| Newark Beth Israel Medical Center | Newark | $233.50 | $56.33 – $381.91 |
| Jersey City Medical Center | Jersey City | $236.47 | $70.82 – $381.91 |
| Monmouth Medical Center | Long Branch | $248.99 | $108.24 – $381.91 |