Shoulder MRI (with contrast) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$875.24
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.
$4,243.00
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.
$624.84 with KARNA vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $624.84 | ↓ -29% |
| AETNA | MANAGED MEDICAID | $683.12 | ↓ -22% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $729.37 | ↓ -17% |
| CLOVER | MEDICARE ADVANTAGE | $763.74 | ↓ -13% |
| AETNA | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $790.06 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $790.06 | ↓ -10% |
| VACCN | ALL PRODUCTS | $790.06 | ↓ -10% |
| CIGNA | PPO | $804.91 | ↓ -8% |
| CIGNA | HMO | $804.91 | ↓ -8% |
| HORIZON | MANAGED MEDICAID | $808.29 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $829.56 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $875.24 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $912.25 | ↑ +4% |
| AMERIHEALTH | REGIONAL HMO | $978.26 | ↑ +12% |
| AMERIHEALTH | LOCAL HMO | $1,082.95 | ↑ +24% |
| UNITED HEALTHCARE | HMO | $1,846.95 | ↑ +111% |
| OXFORD | ALL PRODUCTS | $1,846.95 | ↑ +111% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,927.67 | ↑ +234% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,970.10 | ↑ +239% |
| INTERGROUP | WORKERS COMP | $2,970.10 | ↑ +239% |
| INTERGROUP | SHARED SAVINGS | $2,970.10 | ↑ +239% |
| HORIZON | PIP | $3,101.63 | ↑ +254% |
| HORIZON | WORKERS COMP | $3,101.63 | ↑ +254% |
| HORIZON | OMNIA | $3,122.00 | ↑ +257% |
| QUALCARE | HMO | $3,279.84 | ↑ +275% |
| QUALCARE | PPO | $3,279.84 | ↑ +275% |
| QUALCARE | WORKERS COMP | $3,279.84 | ↑ +275% |
| PRIME HEALTH | AUTO INSURANCE | $3,394.40 | ↑ +288% |
| PRIME HEALTH | WORKERS COMP | $3,394.40 | ↑ +288% |
| AETNA | PPO | $3,564.12 | ↑ +307% |
| AETNA | ASA | $3,564.12 | ↑ +307% |
| AETNA | HMO | $3,564.12 | ↑ +307% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,606.55 | ↑ +312% |
| HORIZON | SHP | $3,721.96 | ↑ +325% |
| HORIZON | HMO | $3,852.22 | ↑ +340% |
| HORIZON | INDEMNITY | $3,903.14 | ↑ +346% |
| HORIZON | PPO | $3,943.02 | ↑ +351% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +395% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $874.49 | $783.71 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $930.42 | $506.96 – $4,332.00 |
| Ocean University Medical Center | Brick | $863.44 | $593.68 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $874.49 | $593.68 – $4,332.00 |
| Palisades Medical Center | North Bergen | $930.42 | $559.24 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $875.24 | $624.84 – $4,332.00 |
| Riverview Medical Center | Red Bank | $874.49 | $477.40 – $4,332.00 |
| Southern Ocean Medical Center | Manahawkin | $863.44 | $593.68 – $4,332.00 |