X-ray humerus >= 2 views left 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.
$523.00
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 $486.02 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 | $61.97 | ↓ -36% |
| AETNA | MANAGED MEDICAID | $84.20 | ↓ -14% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -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% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| CIGNA | PPO | $88.59 | ↓ -9% |
| CIGNA | HMO | $88.59 | ↓ -9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $89.90 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| CLOVER | MEDICARE ADVANTAGE | $94.14 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $99.63 | ↑ +2% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $112.45 | ↑ +15% |
| OXFORD | ALL PRODUCTS | $231.98 | ↑ +138% |
| UNITED HEALTHCARE | HMO | $231.98 | ↑ +138% |
| INTERGROUP | SHARED SAVINGS | $366.10 | ↑ +275% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $366.10 | ↑ +275% |
| INTERGROUP | WORKERS COMP | $366.10 | ↑ +275% |
| HORIZON | WORKERS COMP | $382.31 | ↑ +292% |
| HORIZON | PIP | $382.31 | ↑ +292% |
| HORIZON | OMNIA | $384.82 | ↑ +295% |
| BERGEN RISK | ALL PRODUCTS | $392.25 | ↑ +302% |
| QUALCARE | PPO | $404.28 | ↑ +314% |
| QUALCARE | WORKERS COMP | $404.28 | ↑ +314% |
| QUALCARE | HMO | $404.28 | ↑ +314% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $418.40 | ↑ +329% |
| PRIME HEALTH | AUTO INSURANCE | $418.40 | ↑ +329% |
| PRIME HEALTH | WORKERS COMP | $418.40 | ↑ +329% |
| AETNA | ASA | $439.32 | ↑ +350% |
| AETNA | PPO | $439.32 | ↑ +350% |
| AETNA | HMO | $439.32 | ↑ +350% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $444.55 | ↑ +356% |
| HORIZON | SHP | $458.78 | ↑ +370% |
| HORIZON | HMO | $474.83 | ↑ +387% |
| HORIZON | INDEMNITY | $481.11 | ↑ +393% |
| HORIZON | PPO | $486.02 | ↑ +398% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray humerus >= 2 views left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $121.50 | $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 |
| Riverview Medical Center | Red Bank | $97.46 | $23.10 – $219.04 |