Sialography s&i at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$267.78
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.
$921.00
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.
$148.28 with AETNA vs $871.27 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $148.28 | ↓ -45% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $158.32 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $165.78 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $175.45 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $198.02 | ↓ -26% |
| KARNA | MEDICARE ADVANTAGE | $225.51 | ↓ -16% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| CIGNA | PPO | $376.46 | ↑ +41% |
| CIGNA | HMO | $376.46 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $644.70 | ↑ +141% |
| INTERGROUP | SHARED SAVINGS | $644.70 | ↑ +141% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $644.70 | ↑ +141% |
| UNITED HEALTHCARE | HMO | $659.90 | ↑ +146% |
| OXFORD | ALL PRODUCTS | $659.90 | ↑ +146% |
| HORIZON | PIP | $673.25 | ↑ +151% |
| HORIZON | WORKERS COMP | $673.25 | ↑ +151% |
| HORIZON | OMNIA | $677.67 | ↑ +153% |
| BERGEN RISK | ALL PRODUCTS | $690.75 | ↑ +158% |
| QUALCARE | HMO | $711.93 | ↑ +166% |
| QUALCARE | WORKERS COMP | $711.93 | ↑ +166% |
| QUALCARE | PPO | $711.93 | ↑ +166% |
| PRIME HEALTH | AUTO INSURANCE | $736.80 | ↑ +175% |
| PRIME HEALTH | WORKERS COMP | $736.80 | ↑ +175% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $736.80 | ↑ +175% |
| AETNA | PPO | $773.64 | ↑ +189% |
| AETNA | ASA | $773.64 | ↑ +189% |
| AETNA | HMO | $773.64 | ↑ +189% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $782.85 | ↑ +192% |
| HORIZON | SHP | $807.90 | ↑ +202% |
| HORIZON | HMO | $836.18 | ↑ +212% |
| HORIZON | INDEMNITY | $847.23 | ↑ +216% |
| HORIZON | PPO | $855.89 | ↑ +220% |
| AMERIHEALTH | REGIONAL HMO | $871.27 | ↑ +225% |
| AMERIHEALTH | LOCAL HMO | $871.27 | ↑ +225% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sialography s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $134.29 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $31.22 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $134.29 – $366.56 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $134.29 – $366.56 |
| Palisades Medical Center | North Bergen | $284.66 | $34.44 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $47.25 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $29.40 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $134.29 – $366.56 |