Tomosynthesis breast screen bilateral at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$65.52
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.
$264.00
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.
$17.79 with AMERIHEALTH vs $245.34 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $17.79 | ↓ -73% |
| AMERIHEALTH | LOCAL HMO | $19.69 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $42.50 | ↓ -35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $45.38 | ↓ -31% |
| CLOVER | MEDICARE ADVANTAGE | $47.52 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $50.29 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $56.76 | ↓ -13% |
| WELLCARE | MANAGED MEDICAID | $65.52 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $65.52 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.52 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68.80 | ↑ +5% |
| UNITED HEALTHCARE | HMO | $73.04 | ↑ +11% |
| OXFORD | ALL PRODUCTS | $73.04 | ↑ +11% |
| CIGNA | PPO | $92.57 | ↑ +41% |
| CIGNA | HMO | $92.57 | ↑ +41% |
| KARNA | MEDICARE ADVANTAGE | $98.65 | ↑ +51% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $184.80 | ↑ +182% |
| INTERGROUP | SHARED SAVINGS | $184.80 | ↑ +182% |
| INTERGROUP | WORKERS COMP | $184.80 | ↑ +182% |
| HORIZON | WORKERS COMP | $192.98 | ↑ +195% |
| HORIZON | PIP | $192.98 | ↑ +195% |
| HORIZON | OMNIA | $194.25 | ↑ +196% |
| BERGEN RISK | ALL PRODUCTS | $198.00 | ↑ +202% |
| QUALCARE | PPO | $204.07 | ↑ +211% |
| QUALCARE | HMO | $204.07 | ↑ +211% |
| QUALCARE | WORKERS COMP | $204.07 | ↑ +211% |
| PRIME HEALTH | WORKERS COMP | $211.20 | ↑ +222% |
| PRIME HEALTH | AUTO INSURANCE | $211.20 | ↑ +222% |
| AETNA | ASA | $221.76 | ↑ +238% |
| AETNA | HMO | $221.76 | ↑ +238% |
| AETNA | PPO | $221.76 | ↑ +238% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $224.40 | ↑ +242% |
| HORIZON | SHP | $231.58 | ↑ +253% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $237.60 | ↑ +263% |
| HORIZON | HMO | $239.69 | ↑ +266% |
| HORIZON | INDEMNITY | $242.85 | ↑ +271% |
| HORIZON | PPO | $245.34 | ↑ +274% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $52.18 | $18.87 – $651.60 |
| Community Medical Center | Toms River | $57.65 | $13.99 – $125.06 |
| Newark Beth Israel Medical Center | Newark | $57.90 | $13.99 – $125.06 |
| Jersey City Medical Center | Jersey City | $57.76 | $13.99 – $125.06 |
| Monmouth Medical Center | Long Branch | $60.82 | $13.99 – $125.06 |
| Bayshore Medical Center | Holmdel | $65.52 | $19.89 – $90.13 |
| Hackensack University Medical Center | Hackensack | $65.52 | $19.94 – $98.65 |
| Ocean University Medical Center | Brick | $65.52 | $19.89 – $94.53 |