X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$395.64
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.
$1,540.00
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.
$150.40 with KARNA vs $1,431.12 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $150.40 | ↓ -62% |
| CIGNA | PPO | $192.57 | ↓ -51% |
| CIGNA | HMO | $192.57 | ↓ -51% |
| AMERIHEALTH | REGIONAL HMO | $202.77 | ↓ -49% |
| AMERIHEALTH | LOCAL HMO | $224.47 | ↓ -43% |
| AETNA | MANAGED MEDICAID | $247.94 | ↓ -37% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $264.73 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $277.20 | ↓ -30% |
| HORIZON | MANAGED MEDICAID | $293.37 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $331.10 | ↓ -16% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $1,055.58 | ↑ +167% |
| OXFORD | ALL PRODUCTS | $1,055.58 | ↑ +167% |
| INTERGROUP | SHARED SAVINGS | $1,078.00 | ↑ +172% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,078.00 | ↑ +172% |
| INTERGROUP | WORKERS COMP | $1,078.00 | ↑ +172% |
| HORIZON | WORKERS COMP | $1,125.74 | ↑ +185% |
| HORIZON | PIP | $1,125.74 | ↑ +185% |
| HORIZON | OMNIA | $1,133.13 | ↑ +186% |
| BERGEN RISK | ALL PRODUCTS | $1,155.00 | ↑ +192% |
| QUALCARE | HMO | $1,190.42 | ↑ +201% |
| QUALCARE | WORKERS COMP | $1,190.42 | ↑ +201% |
| QUALCARE | PPO | $1,190.42 | ↑ +201% |
| PRIME HEALTH | WORKERS COMP | $1,232.00 | ↑ +211% |
| PRIME HEALTH | AUTO INSURANCE | $1,232.00 | ↑ +211% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,232.00 | ↑ +211% |
| AETNA | ASA | $1,293.60 | ↑ +227% |
| AETNA | HMO | $1,293.60 | ↑ +227% |
| AETNA | PPO | $1,293.60 | ↑ +227% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,309.00 | ↑ +231% |
| HORIZON | SHP | $1,350.89 | ↑ +241% |
| HORIZON | HMO | $1,398.17 | ↑ +253% |
| HORIZON | INDEMNITY | $1,416.65 | ↑ +258% |
| HORIZON | PPO | $1,431.12 | ↑ +262% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $265.59 | $40.51 – $780.60 |
| Cooperman Barnabas Medical Center | Livingston | $299.83 | $80.36 – $801.34 |
| Community Medical Center | Toms River | $293.47 | $80.36 – $776.70 |
| Clara Maass Medical Center | Belleville | $290.39 | $80.36 – $797.33 |
| Newark Beth Israel Medical Center | Newark | $294.74 | $41.71 – $801.34 |
| Monmouth Medical Center | Long Branch | $309.60 | $80.36 – $786.63 |
| Bayshore Medical Center | Holmdel | $395.29 | $128.95 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $72.85 – $1,138.41 |