Screen pap by tech w md supv at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$18.19
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.
$301.00
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.
$6.60 with UNITED HEALTHCARE vs $284.75 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $6.60 | ↓ -64% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $18.19 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $18.19 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $18.19 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $19.10 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $23.62 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $33.03 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $33.03 | ↑ +82% |
| AETNA | MANAGED MEDICAID | $48.46 | ↑ +166% |
| HORIZON | MANAGED MEDICAID | $57.34 | ↑ +215% |
| CIGNA | HMO | $71.30 | ↑ +292% |
| CIGNA | PPO | $71.30 | ↑ +292% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $210.70 | ↑ +1058% |
| INTERGROUP | SHARED SAVINGS | $210.70 | ↑ +1058% |
| INTERGROUP | WORKERS COMP | $210.70 | ↑ +1058% |
| HORIZON | PIP | $220.03 | ↑ +1110% |
| HORIZON | WORKERS COMP | $220.03 | ↑ +1110% |
| HORIZON | OMNIA | $221.48 | ↑ +1118% |
| BERGEN RISK | ALL PRODUCTS | $225.75 | ↑ +1141% |
| PRIME HEALTH | WORKERS COMP | $240.80 | ↑ +1224% |
| PRIME HEALTH | AUTO INSURANCE | $240.80 | ↑ +1224% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $240.80 | ↑ +1224% |
| AETNA | ASA | $252.84 | ↑ +1290% |
| AETNA | HMO | $252.84 | ↑ +1290% |
| AETNA | PPO | $252.84 | ↑ +1290% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $255.85 | ↑ +1307% |
| HORIZON | SHP | $264.04 | ↑ +1352% |
| HORIZON | HMO | $273.28 | ↑ +1402% |
| HORIZON | INDEMNITY | $276.89 | ↑ +1422% |
| QUALCARE | WORKERS COMP | $278.73 | ↑ +1432% |
| QUALCARE | HMO | $278.73 | ↑ +1432% |
| QUALCARE | PPO | $278.73 | ↑ +1432% |
| HORIZON | PPO | $279.72 | ↑ +1438% |
| AMERIHEALTH | LOCAL HMO | $284.75 | ↑ +1465% |
| AMERIHEALTH | REGIONAL HMO | $284.75 | ↑ +1465% |
Visitor-reported prices
Comments
Screen pap by tech w md supv at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $19.54 | $6.12 – $72.09 |
| Cooperman Barnabas Medical Center | Livingston | $19.54 | $8.14 – $72.09 |
| Community Medical Center | Toms River | $19.54 | $8.14 – $72.09 |
| Clara Maass Medical Center | Belleville | $19.54 | $8.14 – $72.09 |
| Newark Beth Israel Medical Center | Newark | $19.54 | $8.14 – $72.09 |
| Jersey City Medical Center | Jersey City | $19.54 | $7.92 – $72.09 |
| Monmouth Medical Center | Long Branch | $19.54 | $8.14 – $72.09 |
| Bayshore Medical Center | Holmdel | $18.19 | $18.19 – $69.42 |