X-ray elbow >= 3 views (both sides) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$97.54
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.
$546.00
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.
$53.36 with AMERIHEALTH vs $507.40 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 | $53.36 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $59.07 | ↓ -39% |
| KARNA | MEDICARE ADVANTAGE | $63.88 | ↓ -35% |
| CIGNA | HMO | $87.31 | ↓ -10% |
| CIGNA | PPO | $87.31 | ↓ -10% |
| AETNA | MANAGED MEDICAID | $87.91 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $93.86 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $98.28 | ↑ +1% |
| HORIZON | MANAGED MEDICAID | $104.01 | ↑ +7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $117.39 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $231.98 | ↑ +138% |
| UNITED HEALTHCARE | HMO | $231.98 | ↑ +138% |
| INTERGROUP | SHARED SAVINGS | $382.20 | ↑ +292% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $382.20 | ↑ +292% |
| INTERGROUP | WORKERS COMP | $382.20 | ↑ +292% |
| HORIZON | WORKERS COMP | $399.13 | ↑ +309% |
| HORIZON | PIP | $399.13 | ↑ +309% |
| HORIZON | OMNIA | $401.75 | ↑ +312% |
| BERGEN RISK | ALL PRODUCTS | $409.50 | ↑ +320% |
| QUALCARE | PPO | $422.06 | ↑ +333% |
| QUALCARE | WORKERS COMP | $422.06 | ↑ +333% |
| QUALCARE | HMO | $422.06 | ↑ +333% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $436.80 | ↑ +348% |
| PRIME HEALTH | AUTO INSURANCE | $436.80 | ↑ +348% |
| PRIME HEALTH | WORKERS COMP | $436.80 | ↑ +348% |
| AETNA | ASA | $458.64 | ↑ +370% |
| AETNA | PPO | $458.64 | ↑ +370% |
| AETNA | HMO | $458.64 | ↑ +370% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $464.10 | ↑ +376% |
| HORIZON | SHP | $478.95 | ↑ +391% |
| HORIZON | HMO | $495.71 | ↑ +408% |
| HORIZON | INDEMNITY | $502.27 | ↑ +415% |
| HORIZON | PPO | $507.40 | ↑ +420% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray elbow >= 3 views (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $231.20 | $83.81 – $83.81 |
| Childrens Specialized Hospital | Mountainside | $234.00 | $16.50 – $655.00 |
| Bayshore Medical Center | Holmdel | $97.46 | $43.28 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $24.53 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $43.28 – $96.23 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $43.28 – $102.33 |
| Palisades Medical Center | North Bergen | $103.69 | $27.06 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $37.13 – $219.04 |