Ultrasound dx ophth b-scan at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
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.
$440.00
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.
$68.30 with CIGNA vs $408.89 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 |
|---|---|---|---|
| CIGNA | PPO | $68.30 | ↓ -42% |
| CIGNA | HMO | $68.30 | ↓ -42% |
| AETNA | MANAGED MEDICAID | $70.84 | ↓ -40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $75.64 | ↓ -36% |
| CLOVER | MEDICARE ADVANTAGE | $79.20 | ↓ -33% |
| HORIZON | MANAGED MEDICAID | $83.82 | ↓ -29% |
| KARNA | MEDICARE ADVANTAGE | $91.09 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $94.60 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $161.86 | ↑ +37% |
| AMERIHEALTH | LOCAL HMO | $179.18 | ↑ +52% |
| OXFORD | ALL PRODUCTS | $238.04 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $238.04 | ↑ +102% |
| INTERGROUP | WORKERS COMP | $308.00 | ↑ +161% |
| INTERGROUP | SHARED SAVINGS | $308.00 | ↑ +161% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $308.00 | ↑ +161% |
| HORIZON | WORKERS COMP | $321.64 | ↑ +173% |
| HORIZON | PIP | $321.64 | ↑ +173% |
| HORIZON | OMNIA | $323.75 | ↑ +175% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +180% |
| QUALCARE | HMO | $340.12 | ↑ +189% |
| QUALCARE | WORKERS COMP | $340.12 | ↑ +189% |
| QUALCARE | PPO | $340.12 | ↑ +189% |
| PRIME HEALTH | AUTO INSURANCE | $352.00 | ↑ +199% |
| PRIME HEALTH | WORKERS COMP | $352.00 | ↑ +199% |
| AETNA | PPO | $369.60 | ↑ +214% |
| AETNA | ASA | $369.60 | ↑ +214% |
| AETNA | HMO | $369.60 | ↑ +214% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +217% |
| HORIZON | SHP | $385.97 | ↑ +228% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $396.00 | ↑ +236% |
| HORIZON | HMO | $399.48 | ↑ +239% |
| HORIZON | INDEMNITY | $404.76 | ↑ +244% |
| HORIZON | PPO | $408.89 | ↑ +247% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $95.17 | $31.94 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $66.50 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $65.17 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $66.50 – $295.04 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $66.50 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $66.50 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $66.50 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $66.50 – $295.04 |