Unlisted CT procedure at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$97.54
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.
$318.00
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.
$51.20 with AETNA vs $306.11 with CIGNA — 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 | $51.20 | ↓ -48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $54.66 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $57.24 | ↓ -41% |
| HORIZON | MANAGED MEDICAID | $60.58 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $68.37 | ↓ -30% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $155.49 | ↑ +59% |
| AMERIHEALTH | LOCAL HMO | $172.13 | ↑ +76% |
| OXFORD | ALL PRODUCTS | $208.92 | ↑ +114% |
| UNITED HEALTHCARE | HMO | $208.92 | ↑ +114% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $219.42 | ↑ +125% |
| INTERGROUP | WORKERS COMP | $222.60 | ↑ +128% |
| INTERGROUP | SHARED SAVINGS | $222.60 | ↑ +128% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $222.60 | ↑ +128% |
| HORIZON | PIP | $232.46 | ↑ +138% |
| HORIZON | WORKERS COMP | $232.46 | ↑ +138% |
| HORIZON | OMNIA | $233.98 | ↑ +140% |
| BERGEN RISK | ALL PRODUCTS | $238.50 | ↑ +145% |
| QUALCARE | HMO | $245.81 | ↑ +152% |
| QUALCARE | WORKERS COMP | $245.81 | ↑ +152% |
| QUALCARE | PPO | $245.81 | ↑ +152% |
| PRIME HEALTH | AUTO INSURANCE | $254.40 | ↑ +161% |
| PRIME HEALTH | WORKERS COMP | $254.40 | ↑ +161% |
| AETNA | PPO | $267.12 | ↑ +174% |
| AETNA | HMO | $267.12 | ↑ +174% |
| AETNA | ASA | $267.12 | ↑ +174% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $270.30 | ↑ +177% |
| HORIZON | SHP | $278.95 | ↑ +186% |
| HORIZON | HMO | $288.71 | ↑ +196% |
| HORIZON | INDEMNITY | $292.53 | ↑ +200% |
| HORIZON | PPO | $295.52 | ↑ +203% |
| CIGNA | HMO | $306.11 | ↑ +214% |
| CIGNA | PPO | $306.11 | ↑ +214% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted CT procedure at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $82.95 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $88.05 – $2,083.00 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $97.46 – $2,083.00 |
| Palisades Medical Center | North Bergen | $103.69 | $103.69 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $97.54 – $1,752.00 |
| Riverview Medical Center | Red Bank | $97.46 | $97.46 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $96.23 – $173.88 |