X-ray abdomen >=3 views at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
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.
$509.00
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.
$65.81 with AMERIHEALTH vs $473.01 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $65.81 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $72.85 | ↓ -38% |
| AETNA | MANAGED MEDICAID | $81.95 | ↓ -30% |
| KARNA | MEDICARE ADVANTAGE | $82.99 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $87.50 | ↓ -26% |
| CLOVER | MEDICARE ADVANTAGE | $91.62 | ↓ -22% |
| HORIZON | MANAGED MEDICAID | $96.96 | ↓ -18% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $109.44 | ↓ -7% |
| CIGNA | HMO | $110.13 | ↓ -7% |
| CIGNA | PPO | $110.13 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $356.30 | ↑ +202% |
| INTERGROUP | WORKERS COMP | $356.30 | ↑ +202% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $356.30 | ↑ +202% |
| HORIZON | WORKERS COMP | $372.08 | ↑ +216% |
| HORIZON | PIP | $372.08 | ↑ +216% |
| HORIZON | OMNIA | $374.52 | ↑ +218% |
| BERGEN RISK | ALL PRODUCTS | $381.75 | ↑ +224% |
| QUALCARE | HMO | $393.46 | ↑ +234% |
| QUALCARE | WORKERS COMP | $393.46 | ↑ +234% |
| QUALCARE | PPO | $393.46 | ↑ +234% |
| PRIME HEALTH | WORKERS COMP | $407.20 | ↑ +246% |
| PRIME HEALTH | AUTO INSURANCE | $407.20 | ↑ +246% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $407.20 | ↑ +246% |
| AETNA | ASA | $427.56 | ↑ +263% |
| AETNA | HMO | $427.56 | ↑ +263% |
| AETNA | PPO | $427.56 | ↑ +263% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $432.65 | ↑ +267% |
| HORIZON | SHP | $446.49 | ↑ +279% |
| HORIZON | HMO | $462.12 | ↑ +292% |
| HORIZON | INDEMNITY | $468.23 | ↑ +297% |
| HORIZON | PPO | $473.01 | ↑ +302% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray abdomen >=3 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $113.55 | $22.35 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $116.33 | $38.23 – $238.62 |
| Community Medical Center | Toms River | $125.47 | $38.23 – $231.28 |
| Clara Maass Medical Center | Belleville | $113.96 | $38.23 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $114.35 | $23.01 – $238.62 |
| Jersey City Medical Center | Jersey City | $125.71 | $28.92 – $249.21 |
| Monmouth Medical Center | Long Branch | $132.37 | $38.23 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $47.24 – $295.04 |