Vein x-ray liver w/hemodynam at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,486.86
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.
$5,458.00
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.
$259.13 with KARNA vs $8,205.81 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $259.13 | ↓ -93% |
| CIGNA | HMO | $287.68 | ↓ -92% |
| CIGNA | PPO | $287.68 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $878.74 | ↓ -75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $938.23 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $982.44 | ↓ -72% |
| HORIZON | MANAGED MEDICAID | $1,039.75 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,173.47 | ↓ -66% |
| WELLCARE | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,147.50 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| VACCN | ALL PRODUCTS | $3,147.50 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,304.88 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,486.86 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $3,820.60 | ↑ +10% |
| INTERGROUP | WORKERS COMP | $3,820.60 | ↑ +10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,820.60 | ↑ +10% |
| HORIZON | PIP | $3,989.80 | ↑ +14% |
| HORIZON | WORKERS COMP | $3,989.80 | ↑ +14% |
| HORIZON | OMNIA | $4,016.00 | ↑ +15% |
| BERGEN RISK | ALL PRODUCTS | $4,093.50 | ↑ +17% |
| QUALCARE | WORKERS COMP | $4,219.03 | ↑ +21% |
| QUALCARE | PPO | $4,219.03 | ↑ +21% |
| QUALCARE | HMO | $4,219.03 | ↑ +21% |
| PRIME HEALTH | WORKERS COMP | $4,366.40 | ↑ +25% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,366.40 | ↑ +25% |
| PRIME HEALTH | AUTO INSURANCE | $4,366.40 | ↑ +25% |
| AETNA | HMO | $4,584.72 | ↑ +31% |
| AETNA | PPO | $4,584.72 | ↑ +31% |
| AETNA | ASA | $4,584.72 | ↑ +31% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,639.30 | ↑ +33% |
| HORIZON | SHP | $4,787.76 | ↑ +37% |
| HORIZON | HMO | $4,955.32 | ↑ +42% |
| HORIZON | INDEMNITY | $5,020.81 | ↑ +44% |
| HORIZON | PPO | $5,072.12 | ↑ +45% |
| AMERIHEALTH | LOCAL HMO | $5,163.27 | ↑ +48% |
| AMERIHEALTH | REGIONAL HMO | $5,163.27 | ↑ +48% |
| OXFORD | ALL PRODUCTS | $8,205.81 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $8,205.81 | ↑ +135% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray liver w/hemodynam at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,072.70 | $70.24 – $6,879.68 |
| Community Medical Center | Toms River | $1,185.29 | $186.35 – $6,845.28 |
| Newark Beth Israel Medical Center | Newark | $1,190.43 | $72.30 – $7,062.48 |
| Monmouth Medical Center | Long Branch | $1,250.44 | $191.81 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $247.33 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $212.30 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $247.33 – $3,439.84 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $248.24 – $8,792.45 |