Tc-99m exametazime diag at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$802.34
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.
$9,448.00
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.
$0.01 with AETNA vs $8,780.03 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 |
|---|---|---|---|
| AETNA | HMO | $0.01 | ↓ -100% |
| AETNA | ASA | $0.01 | ↓ -100% |
| AETNA | PPO | $0.01 | ↓ -100% |
| HORIZON | MEDICARE ADVANTAGE | $802.34 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $802.34 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $802.34 | ↑ +0% |
| VACCN | ALL PRODUCTS | $802.34 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $802.34 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $802.34 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $802.34 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $842.46 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $1,521.13 | ↑ +90% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,624.11 | ↑ +102% |
| CLOVER | MEDICARE ADVANTAGE | $1,700.64 | ↑ +112% |
| HORIZON | MANAGED MEDICAID | $1,799.84 | ↑ +124% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,031.32 | ↑ +153% |
| KARNA | MEDICARE ADVANTAGE | $2,869.69 | ↑ +258% |
| CIGNA | HMO | $2,976.12 | ↑ +271% |
| CIGNA | PPO | $2,976.12 | ↑ +271% |
| AMERIHEALTH | LOCAL HMO | $4,186.41 | ↑ +422% |
| AMERIHEALTH | REGIONAL HMO | $4,186.41 | ↑ +422% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $4,752.34 | ↑ +492% |
| UNITED HEALTHCARE | HMO | $5,111.37 | ↑ +537% |
| OXFORD | ALL PRODUCTS | $5,111.37 | ↑ +537% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $5,281.43 | ↑ +558% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,613.60 | ↑ +724% |
| INTERGROUP | WORKERS COMP | $6,613.60 | ↑ +724% |
| INTERGROUP | SHARED SAVINGS | $6,613.60 | ↑ +724% |
| HORIZON | PIP | $6,906.49 | ↑ +761% |
| HORIZON | WORKERS COMP | $6,906.49 | ↑ +761% |
| HORIZON | OMNIA | $6,951.84 | ↑ +766% |
| BERGEN RISK | ALL PRODUCTS | $7,086.00 | ↑ +783% |
| PRIME HEALTH | AUTO INSURANCE | $7,558.40 | ↑ +842% |
| PRIME HEALTH | WORKERS COMP | $7,558.40 | ↑ +842% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,030.80 | ↑ +901% |
| HORIZON | SHP | $8,287.79 | ↑ +933% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,503.20 | ↑ +960% |
| HORIZON | HMO | $8,577.84 | ↑ +969% |
| HORIZON | INDEMNITY | $8,691.22 | ↑ +983% |
| QUALCARE | PPO | $8,748.85 | ↑ +990% |
| QUALCARE | HMO | $8,748.85 | ↑ +990% |
| QUALCARE | WORKERS COMP | $8,748.85 | ↑ +990% |
| HORIZON | PPO | $8,780.03 | ↑ +994% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $802.34 | $802.34 – $962.81 |
| Hackensack University Medical Center | Hackensack | $802.34 | $641.87 – $2,869.69 |
| Ocean University Medical Center | Brick | $802.34 | $0.01 – $2,810.36 |
| Jersey Shore University Medical Center | Neptune City | $802.34 | $802.34 – $2,810.36 |
| Palisades Medical Center | North Bergen | $802.34 | $802.34 – $2,869.69 |
| Raritan Bay Medical Center | Perth Amboy | $802.34 | $802.34 – $2,869.69 |
| Riverview Medical Center | Red Bank | $802.34 | $802.34 – $2,810.36 |
| Southern Ocean Medical Center | Manahawkin | $802.34 | $802.34 – $2,810.36 |