Ultrasound joint/nonvascular extremity limited left 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.
$635.00
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.
$102.24 with AETNA vs $590.11 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 | MANAGED MEDICAID | $102.24 | ↓ -13% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $109.16 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| CLOVER | MEDICARE ADVANTAGE | $114.30 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $120.30 | ↑ +2% |
| HORIZON | MANAGED MEDICAID | $120.97 | ↑ +3% |
| CIGNA | HMO | $122.83 | ↑ +4% |
| CIGNA | PPO | $122.83 | ↑ +4% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $136.53 | ↑ +16% |
| AMERIHEALTH | REGIONAL HMO | $147.63 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $163.43 | ↑ +39% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $444.50 | ↑ +277% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $444.50 | ↑ +277% |
| INTERGROUP | WORKERS COMP | $444.50 | ↑ +277% |
| HORIZON | WORKERS COMP | $464.19 | ↑ +294% |
| HORIZON | PIP | $464.19 | ↑ +294% |
| HORIZON | OMNIA | $467.23 | ↑ +297% |
| BERGEN RISK | ALL PRODUCTS | $476.25 | ↑ +304% |
| QUALCARE | HMO | $490.86 | ↑ +317% |
| QUALCARE | WORKERS COMP | $490.86 | ↑ +317% |
| QUALCARE | PPO | $490.86 | ↑ +317% |
| PRIME HEALTH | AUTO INSURANCE | $508.00 | ↑ +331% |
| PRIME HEALTH | WORKERS COMP | $508.00 | ↑ +331% |
| AETNA | ASA | $533.40 | ↑ +353% |
| AETNA | PPO | $533.40 | ↑ +353% |
| AETNA | HMO | $533.40 | ↑ +353% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $539.75 | ↑ +358% |
| HORIZON | SHP | $557.02 | ↑ +373% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $571.50 | ↑ +385% |
| HORIZON | HMO | $576.52 | ↑ +389% |
| HORIZON | INDEMNITY | $584.14 | ↑ +396% |
| HORIZON | PPO | $590.11 | ↑ +401% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound joint/nonvascular extremity limited left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $283.00 | $13.06 – $13.06 |
| Bayshore Medical Center | Holmdel | $117.70 | $19.24 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $19.42 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $19.24 – $295.04 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $19.24 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $21.42 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $19.24 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $19.24 – $295.04 |