X-ray lumbosacral spine complete including bending views >= 6 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.
$790.00
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.
$106.34 with AMERIGROUP vs $734.15 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AMERIHEALTH | REGIONAL HMO | $108.50 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $118.87 | ↑ +1% |
| AMERIHEALTH | LOCAL HMO | $120.11 | ↑ +2% |
| AETNA | MANAGED MEDICAID | $127.19 | ↑ +8% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $135.80 | ↑ +15% |
| CLOVER | MEDICARE ADVANTAGE | $142.20 | ↑ +21% |
| HORIZON | MANAGED MEDICAID | $150.50 | ↑ +28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $169.85 | ↑ +44% |
| CIGNA | PPO | $174.83 | ↑ +48% |
| CIGNA | HMO | $174.83 | ↑ +48% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| INTERGROUP | SHARED SAVINGS | $553.00 | ↑ +369% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $553.00 | ↑ +369% |
| INTERGROUP | WORKERS COMP | $553.00 | ↑ +369% |
| HORIZON | WORKERS COMP | $577.49 | ↑ +390% |
| HORIZON | PIP | $577.49 | ↑ +390% |
| HORIZON | OMNIA | $581.28 | ↑ +393% |
| BERGEN RISK | ALL PRODUCTS | $592.50 | ↑ +403% |
| QUALCARE | PPO | $610.67 | ↑ +418% |
| QUALCARE | WORKERS COMP | $610.67 | ↑ +418% |
| QUALCARE | HMO | $610.67 | ↑ +418% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $632.00 | ↑ +436% |
| PRIME HEALTH | AUTO INSURANCE | $632.00 | ↑ +436% |
| PRIME HEALTH | WORKERS COMP | $632.00 | ↑ +436% |
| AETNA | ASA | $663.60 | ↑ +463% |
| AETNA | PPO | $663.60 | ↑ +463% |
| AETNA | HMO | $663.60 | ↑ +463% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $671.50 | ↑ +470% |
| HORIZON | SHP | $692.99 | ↑ +488% |
| HORIZON | HMO | $717.24 | ↑ +509% |
| HORIZON | INDEMNITY | $726.72 | ↑ +517% |
| HORIZON | PPO | $734.15 | ↑ +523% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray lumbosacral spine complete including bending views >= 6 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $159.92 | $31.97 – $244.70 |
| Cooperman Barnabas Medical Center | Livingston | $180.53 | $45.92 – $244.70 |
| Community Medical Center | Toms River | $176.70 | $45.92 – $244.70 |
| Clara Maass Medical Center | Belleville | $169.46 | $45.92 – $244.70 |
| Childrens Specialized Hospital | Mountainside | $234.00 | $28.00 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $177.47 | $32.91 – $244.70 |
| Jersey City Medical Center | Jersey City | $177.04 | $41.37 – $249.21 |
| Monmouth Medical Center | Long Branch | $186.41 | $45.92 – $244.70 |