Sinus CT scan (with and without contrast) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$197.21
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.
$3,376.00
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.
$178.02 with HORIZON vs $3,137.32 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $178.02 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $178.02 | ↓ -10% |
| VACCN | ALL PRODUCTS | $178.02 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $186.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.21 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $364.23 | ↑ +85% |
| CIGNA | PPO | $404.42 | ↑ +105% |
| CIGNA | HMO | $404.42 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $461.11 | ↑ +134% |
| UNITED HEALTHCARE | HMO | $461.11 | ↑ +134% |
| AETNA | MANAGED MEDICAID | $543.54 | ↑ +176% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $580.33 | ↑ +194% |
| AMERIHEALTH | REGIONAL HMO | $594.07 | ↑ +201% |
| CLOVER | MEDICARE ADVANTAGE | $607.68 | ↑ +208% |
| HORIZON | MANAGED MEDICAID | $643.13 | ↑ +226% |
| AMERIHEALTH | LOCAL HMO | $657.64 | ↑ +233% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $725.84 | ↑ +268% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,329.44 | ↑ +1081% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,363.20 | ↑ +1098% |
| INTERGROUP | WORKERS COMP | $2,363.20 | ↑ +1098% |
| INTERGROUP | SHARED SAVINGS | $2,363.20 | ↑ +1098% |
| HORIZON | PIP | $2,467.86 | ↑ +1151% |
| HORIZON | WORKERS COMP | $2,467.86 | ↑ +1151% |
| HORIZON | OMNIA | $2,484.06 | ↑ +1160% |
| BERGEN RISK | ALL PRODUCTS | $2,532.00 | ↑ +1184% |
| QUALCARE | PPO | $2,609.65 | ↑ +1223% |
| QUALCARE | WORKERS COMP | $2,609.65 | ↑ +1223% |
| QUALCARE | HMO | $2,609.65 | ↑ +1223% |
| PRIME HEALTH | AUTO INSURANCE | $2,700.80 | ↑ +1270% |
| PRIME HEALTH | WORKERS COMP | $2,700.80 | ↑ +1270% |
| AETNA | HMO | $2,835.84 | ↑ +1338% |
| AETNA | ASA | $2,835.84 | ↑ +1338% |
| AETNA | PPO | $2,835.84 | ↑ +1338% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,869.60 | ↑ +1355% |
| HORIZON | SHP | $2,961.43 | ↑ +1402% |
| HORIZON | HMO | $3,065.07 | ↑ +1454% |
| HORIZON | INDEMNITY | $3,105.58 | ↑ +1475% |
| HORIZON | PPO | $3,137.32 | ↑ +1491% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $632.17 | $98.14 – $630.21 |
| Cooperman Barnabas Medical Center | Livingston | $737.83 | $199.72 – $726.00 |
| Community Medical Center | Toms River | $698.52 | $194.55 – $726.00 |
| Clara Maass Medical Center | Belleville | $831.00 | $199.72 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $725.30 | $101.03 – $726.00 |
| Jersey City Medical Center | Jersey City | $699.87 | $127.01 – $704.00 |
| Monmouth Medical Center | Long Branch | $736.91 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $1,762.00 |