Pt application of modality >=1 area ultrasound each 15 minutes at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$17.72
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.
$150.00
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.
$17.72 with VACCN vs $523.00 with UNITED HEALTHCARE — 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 | $17.72 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $17.72 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.72 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $17.72 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $17.72 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $17.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.61 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $24.15 | ↑ +36% |
| KARNA | MEDICARE ADVANTAGE | $24.27 | ↑ +37% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $25.79 | ↑ +46% |
| CLOVER | MEDICARE ADVANTAGE | $27.00 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $32.25 | ↑ +82% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +239% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $75.00 | ↑ +323% |
| HORIZON | PIP | $91.35 | ↑ +416% |
| HORIZON | SHP | $91.35 | ↑ +416% |
| HORIZON | PPO | $91.35 | ↑ +416% |
| HORIZON | INDEMNITY | $91.35 | ↑ +416% |
| HORIZON | OMNIA | $91.35 | ↑ +416% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $105.00 | ↑ +493% |
| INTERGROUP | SHARED SAVINGS | $105.00 | ↑ +493% |
| INTERGROUP | WORKERS COMP | $105.00 | ↑ +493% |
| HORIZON | WORKERS COMP | $109.65 | ↑ +519% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +555% |
| PRIME HEALTH | WORKERS COMP | $120.00 | ↑ +577% |
| PRIME HEALTH | AUTO INSURANCE | $120.00 | ↑ +577% |
| AETNA | ASA | $127.26 | ↑ +618% |
| AETNA | HMO | $127.26 | ↑ +618% |
| AETNA | PPO | $127.26 | ↑ +618% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $127.50 | ↑ +620% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $135.00 | ↑ +662% |
| HORIZON | HMO | $136.19 | ↑ +669% |
| QUALCARE | WORKERS COMP | $138.90 | ↑ +684% |
| QUALCARE | PPO | $138.90 | ↑ +684% |
| QUALCARE | HMO | $138.90 | ↑ +684% |
| AMERIHEALTH | REGIONAL HMO | $141.90 | ↑ +701% |
| AMERIHEALTH | LOCAL HMO | $141.90 | ↑ +701% |
| CIGNA | HMO | $144.39 | ↑ +715% |
| CIGNA | PPO | $144.39 | ↑ +715% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +989% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +989% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +1057% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +1057% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +1057% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +1057% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +1164% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +1164% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +1542% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +2236% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +2722% |
| UNITED HEALTHCARE | HMO | $523.00 | ↑ +2851% |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $57.00 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $17.72 | $17.72 – $447.00 |
| Hackensack University Medical Center | Hackensack | $17.72 | $14.18 – $406.00 |
| Ocean University Medical Center | Brick | $17.72 | $17.72 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $17.72 | $14.18 – $561.00 |
| Palisades Medical Center | North Bergen | $17.72 | $10.36 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $17.72 | $17.72 – $471.00 |
| Riverview Medical Center | Red Bank | $17.72 | $17.72 – $464.00 |