Ureteral reflux study at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$445.16
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.
$1,352.00
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.
$217.67 with AETNA vs $1,256.41 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 | $217.67 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $232.41 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $243.36 | ↓ -45% |
| HORIZON | MANAGED MEDICAID | $257.56 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $290.68 | ↓ -35% |
| AMERIHEALTH | REGIONAL HMO | $314.82 | ↓ -29% |
| AMERIHEALTH | LOCAL HMO | $348.51 | ↓ -22% |
| HORIZON | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| VACCN | ALL PRODUCTS | $401.83 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $401.83 | ↓ -10% |
| KARNA | MEDICARE ADVANTAGE | $410.77 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $421.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| CIGNA | HMO | $723.37 | ↑ +62% |
| CIGNA | PPO | $723.37 | ↑ +62% |
| INTERGROUP | WORKERS COMP | $946.40 | ↑ +113% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $946.40 | ↑ +113% |
| INTERGROUP | SHARED SAVINGS | $946.40 | ↑ +113% |
| HORIZON | WORKERS COMP | $988.31 | ↑ +122% |
| HORIZON | PIP | $988.31 | ↑ +122% |
| HORIZON | OMNIA | $994.80 | ↑ +123% |
| BERGEN RISK | ALL PRODUCTS | $1,014.00 | ↑ +128% |
| QUALCARE | PPO | $1,045.10 | ↑ +135% |
| QUALCARE | WORKERS COMP | $1,045.10 | ↑ +135% |
| QUALCARE | HMO | $1,045.10 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $1,081.39 | ↑ +143% |
| OXFORD | ALL PRODUCTS | $1,081.39 | ↑ +143% |
| PRIME HEALTH | WORKERS COMP | $1,081.60 | ↑ +143% |
| PRIME HEALTH | AUTO INSURANCE | $1,081.60 | ↑ +143% |
| AETNA | PPO | $1,135.68 | ↑ +155% |
| AETNA | ASA | $1,135.68 | ↑ +155% |
| AETNA | HMO | $1,135.68 | ↑ +155% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,149.20 | ↑ +158% |
| HORIZON | SHP | $1,185.97 | ↑ +166% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,216.80 | ↑ +173% |
| HORIZON | HMO | $1,227.48 | ↑ +176% |
| HORIZON | INDEMNITY | $1,243.70 | ↑ +179% |
| HORIZON | PPO | $1,256.41 | ↑ +182% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ureteral reflux study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $425.07 | $82.00 – $959.67 |
| Clara Maass Medical Center | Belleville | $328.78 | $82.00 – $959.67 |
| Newark Beth Israel Medical Center | Newark | $417.84 | $82.00 – $959.67 |
| Monmouth Medical Center | Long Branch | $421.40 | $82.00 – $959.67 |
| Bayshore Medical Center | Holmdel | $444.77 | $159.30 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $74.34 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $159.30 – $1,021.05 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $159.30 – $1,158.70 |