X-ray exam of teeth at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$267.78
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.
$275.00
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.
$40.91 with AMERIHEALTH vs $659.90 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $40.91 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $44.28 | ↓ -83% |
| AMERIHEALTH | LOCAL HMO | $45.29 | ↓ -83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.27 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $49.50 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $52.39 | ↓ -80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.13 | ↓ -78% |
| KARNA | MEDICARE ADVANTAGE | $79.05 | ↓ -70% |
| CIGNA | PPO | $115.22 | ↓ -57% |
| CIGNA | HMO | $115.22 | ↓ -57% |
| INTERGROUP | WORKERS COMP | $192.50 | ↓ -28% |
| INTERGROUP | SHARED SAVINGS | $192.50 | ↓ -28% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $192.50 | ↓ -28% |
| HORIZON | WORKERS COMP | $201.03 | ↓ -25% |
| HORIZON | PIP | $201.03 | ↓ -25% |
| HORIZON | OMNIA | $202.35 | ↓ -24% |
| BERGEN RISK | ALL PRODUCTS | $206.25 | ↓ -23% |
| QUALCARE | HMO | $212.58 | ↓ -21% |
| QUALCARE | PPO | $212.58 | ↓ -21% |
| QUALCARE | WORKERS COMP | $212.58 | ↓ -21% |
| PRIME HEALTH | AUTO INSURANCE | $220.00 | ↓ -18% |
| PRIME HEALTH | WORKERS COMP | $220.00 | ↓ -18% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $220.00 | ↓ -18% |
| AETNA | HMO | $231.00 | ↓ -14% |
| AETNA | PPO | $231.00 | ↓ -14% |
| AETNA | ASA | $231.00 | ↓ -14% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $233.75 | ↓ -13% |
| HORIZON | SHP | $241.23 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -10% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -10% |
| HORIZON | HMO | $249.67 | ↓ -7% |
| HORIZON | INDEMNITY | $252.97 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -5% |
| HORIZON | PPO | $255.56 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $659.90 | ↑ +146% |
| OXFORD | ALL PRODUCTS | $659.90 | ↑ +146% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of teeth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $31.34 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $18.39 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $31.34 – $264.17 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $31.34 – $280.93 |
| Palisades Medical Center | North Bergen | $284.66 | $20.29 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $27.83 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $17.32 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $31.34 – $277.38 |