Vital capacity test at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$173.33
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.
$250.00
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.
$40.25 with AETNA vs $610.00 with OXFORD — 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 | $40.25 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $42.98 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $45.00 | ↓ -74% |
| KARNA | MEDICARE ADVANTAGE | $45.64 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $53.75 | ↓ -69% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $175.00 | ↑ +1% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $175.00 | ↑ +1% |
| INTERGROUP | WORKERS COMP | $175.00 | ↑ +1% |
| HORIZON | WORKERS COMP | $182.75 | ↑ +5% |
| HORIZON | PIP | $182.75 | ↑ +5% |
| HORIZON | OMNIA | $183.95 | ↑ +6% |
| BERGEN RISK | ALL PRODUCTS | $187.50 | ↑ +8% |
| PRIME HEALTH | WORKERS COMP | $200.00 | ↑ +15% |
| PRIME HEALTH | AUTO INSURANCE | $200.00 | ↑ +15% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $212.50 | ↑ +23% |
| HORIZON | SHP | $219.30 | ↑ +27% |
| AETNA | ASA | $224.18 | ↑ +29% |
| AETNA | PPO | $224.18 | ↑ +29% |
| AETNA | HMO | $224.18 | ↑ +29% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $225.00 | ↑ +30% |
| HORIZON | HMO | $226.98 | ↑ +31% |
| HORIZON | INDEMNITY | $229.98 | ↑ +33% |
| QUALCARE | WORKERS COMP | $231.50 | ↑ +34% |
| QUALCARE | HMO | $231.50 | ↑ +34% |
| QUALCARE | PPO | $231.50 | ↑ +34% |
| HORIZON | PPO | $232.33 | ↑ +34% |
| AMERIHEALTH | LOCAL HMO | $236.50 | ↑ +36% |
| AMERIHEALTH | REGIONAL HMO | $236.50 | ↑ +36% |
| CIGNA | HMO | $240.65 | ↑ +39% |
| CIGNA | PPO | $240.65 | ↑ +39% |
| UNITED HEALTHCARE | HMO | $567.00 | ↑ +227% |
| OXFORD | ALL PRODUCTS | $610.00 | ↑ +252% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Community Medical Center | Toms River | $84.20 | $110.50 – $340.27 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Monmouth Medical Center | Long Branch | $88.83 | $173.18 – $344.63 |