Venogram ext bil s&i at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,720.93
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.
$3,905.00
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.
$252.82 with KARNA vs $4,032.11 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 | $252.82 | ↓ -85% |
| CIGNA | HMO | $264.88 | ↓ -85% |
| CIGNA | PPO | $264.88 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $628.71 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $671.27 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $702.90 | ↓ -59% |
| HORIZON | MANAGED MEDICAID | $743.90 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $839.58 | ↓ -51% |
| WELLCARE | MEDICARE ADVANTAGE | $1,553.44 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,553.44 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,553.44 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,553.44 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,553.44 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,553.44 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,631.11 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,720.93 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $2,733.50 | ↑ +59% |
| INTERGROUP | WORKERS COMP | $2,733.50 | ↑ +59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,733.50 | ↑ +59% |
| HORIZON | PIP | $2,854.56 | ↑ +66% |
| HORIZON | WORKERS COMP | $2,854.56 | ↑ +66% |
| HORIZON | OMNIA | $2,873.30 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $2,928.75 | ↑ +70% |
| QUALCARE | WORKERS COMP | $3,018.57 | ↑ +75% |
| QUALCARE | PPO | $3,018.57 | ↑ +75% |
| QUALCARE | HMO | $3,018.57 | ↑ +75% |
| PRIME HEALTH | WORKERS COMP | $3,124.00 | ↑ +82% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,124.00 | ↑ +82% |
| PRIME HEALTH | AUTO INSURANCE | $3,124.00 | ↑ +82% |
| AETNA | HMO | $3,280.20 | ↑ +91% |
| AETNA | PPO | $3,280.20 | ↑ +91% |
| AETNA | ASA | $3,280.20 | ↑ +91% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,319.25 | ↑ +93% |
| HORIZON | SHP | $3,425.47 | ↑ +99% |
| HORIZON | HMO | $3,545.35 | ↑ +106% |
| HORIZON | INDEMNITY | $3,592.21 | ↑ +109% |
| HORIZON | PPO | $3,628.92 | ↑ +111% |
| AMERIHEALTH | LOCAL HMO | $3,694.13 | ↑ +115% |
| AMERIHEALTH | REGIONAL HMO | $3,694.13 | ↑ +115% |
| OXFORD | ALL PRODUCTS | $4,032.11 | ↑ +134% |
| UNITED HEALTHCARE | HMO | $4,032.11 | ↑ +134% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Venogram ext bil s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $756.24 | $68.61 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $877.47 | $129.56 – $3,485.68 |
| Community Medical Center | Toms River | $835.61 | $129.56 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $512.76 | $129.56 – $3,468.25 |
| Newark Beth Israel Medical Center | Newark | $862.57 | $70.62 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $837.22 | $88.78 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $881.54 | $129.56 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $110.99 – $3,807.12 |