Pet image w/ct lmtd at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,615.86
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.
$10,187.00
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.
$1,458.59 with VACCN vs $9,466.78 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $1,458.59 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,458.59 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,458.59 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,458.59 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,458.59 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,458.59 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,531.52 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,615.86 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $1,640.11 | ↑ +2% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,751.15 | ↑ +8% |
| CLOVER | MEDICARE ADVANTAGE | $1,833.66 | ↑ +13% |
| HORIZON | MANAGED MEDICAID | $1,940.62 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,190.21 | ↑ +36% |
| KARNA | MEDICARE ADVANTAGE | $2,499.45 | ↑ +55% |
| AMERIHEALTH | REGIONAL HMO | $3,155.34 | ↑ +95% |
| AMERIHEALTH | LOCAL HMO | $3,493.00 | ↑ +116% |
| CIGNA | PPO | $4,117.96 | ↑ +155% |
| CIGNA | HMO | $4,117.96 | ↑ +155% |
| OXFORD | ALL PRODUCTS | $4,244.87 | ↑ +163% |
| UNITED HEALTHCARE | HMO | $4,244.87 | ↑ +163% |
| AETNA | HMO | $5,713.00 | ↑ +254% |
| AETNA | ASA | $5,713.00 | ↑ +254% |
| AETNA | PPO | $5,713.00 | ↑ +254% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,130.90 | ↑ +341% |
| INTERGROUP | SHARED SAVINGS | $7,130.90 | ↑ +341% |
| INTERGROUP | WORKERS COMP | $7,130.90 | ↑ +341% |
| HORIZON | WORKERS COMP | $7,446.70 | ↑ +361% |
| HORIZON | PIP | $7,446.70 | ↑ +361% |
| QUALCARE | WORKERS COMP | $7,452.00 | ↑ +361% |
| QUALCARE | HMO | $7,453.00 | ↑ +361% |
| HORIZON | OMNIA | $7,495.59 | ↑ +364% |
| BERGEN RISK | ALL PRODUCTS | $7,640.25 | ↑ +373% |
| QUALCARE | PPO | $7,874.55 | ↑ +387% |
| PRIME HEALTH | AUTO INSURANCE | $8,149.60 | ↑ +404% |
| PRIME HEALTH | WORKERS COMP | $8,149.60 | ↑ +404% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,658.95 | ↑ +436% |
| HORIZON | SHP | $8,936.04 | ↑ +453% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,168.30 | ↑ +467% |
| HORIZON | HMO | $9,248.78 | ↑ +472% |
| HORIZON | INDEMNITY | $9,371.02 | ↑ +480% |
| HORIZON | PPO | $9,466.78 | ↑ +486% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,614.45 | $1,614.45 – $4,009.56 |
| Hackensack University Medical Center | Hackensack | $1,717.72 | $1,374.18 – $6,637.00 |
| Ocean University Medical Center | Brick | $1,594.06 | $1,458.59 – $4,009.56 |
| Jersey Shore University Medical Center | Neptune City | $1,614.45 | $1,614.45 – $4,548.34 |
| Palisades Medical Center | North Bergen | $1,717.72 | $1,717.72 – $4,009.56 |
| Raritan Bay Medical Center | Perth Amboy | $1,615.86 | $1,615.86 – $4,009.56 |
| Riverview Medical Center | Red Bank | $1,614.45 | $1,614.45 – $4,009.56 |
| Southern Ocean Medical Center | Manahawkin | $1,594.06 | $1,594.06 – $4,009.56 |