X-ray optic foramina 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.
$162.00
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.
$26.08 with AETNA vs $231.98 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $26.08 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $27.85 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $29.16 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $30.86 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.83 | ↓ -64% |
| AMERIHEALTH | REGIONAL HMO | $62.25 | ↓ -36% |
| AMERIHEALTH | LOCAL HMO | $68.91 | ↓ -29% |
| KARNA | MEDICARE ADVANTAGE | $72.83 | ↓ -25% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| CIGNA | HMO | $102.54 | ↑ +5% |
| CIGNA | PPO | $102.54 | ↑ +5% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $113.40 | ↑ +16% |
| INTERGROUP | WORKERS COMP | $113.40 | ↑ +16% |
| INTERGROUP | SHARED SAVINGS | $113.40 | ↑ +16% |
| HORIZON | PIP | $118.42 | ↑ +21% |
| HORIZON | WORKERS COMP | $118.42 | ↑ +21% |
| HORIZON | OMNIA | $119.20 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $121.50 | ↑ +25% |
| QUALCARE | WORKERS COMP | $125.23 | ↑ +28% |
| QUALCARE | PPO | $125.23 | ↑ +28% |
| QUALCARE | HMO | $125.23 | ↑ +28% |
| PRIME HEALTH | WORKERS COMP | $129.60 | ↑ +33% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $129.60 | ↑ +33% |
| PRIME HEALTH | AUTO INSURANCE | $129.60 | ↑ +33% |
| AETNA | ASA | $136.08 | ↑ +40% |
| AETNA | PPO | $136.08 | ↑ +40% |
| AETNA | HMO | $136.08 | ↑ +40% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $137.70 | ↑ +41% |
| HORIZON | SHP | $142.11 | ↑ +46% |
| HORIZON | HMO | $147.08 | ↑ +51% |
| HORIZON | INDEMNITY | $149.02 | ↑ +53% |
| HORIZON | PPO | $150.55 | ↑ +54% |
| UNITED HEALTHCARE | HMO | $231.98 | ↑ +138% |
| OXFORD | ALL PRODUCTS | $231.98 | ↑ +138% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray optic foramina at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $46.88 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.30 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $46.88 – $99.84 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $46.88 – $102.33 |
| Palisades Medical Center | North Bergen | $103.69 | $24.60 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $33.75 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $21.00 – $219.04 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $46.88 – $101.04 |