X-ray shoulder 1 view (both sides) 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.
$303.00
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.
$41.65 with KARNA vs $281.58 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 | $41.65 | ↓ -57% |
| AMERIHEALTH | REGIONAL HMO | $44.47 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $48.78 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $49.22 | ↓ -50% |
| CIGNA | PPO | $51.79 | ↓ -47% |
| CIGNA | HMO | $51.79 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $52.09 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $54.54 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $57.72 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $65.15 | ↓ -33% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $212.10 | ↑ +117% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $212.10 | ↑ +117% |
| INTERGROUP | SHARED SAVINGS | $212.10 | ↑ +117% |
| HORIZON | WORKERS COMP | $221.49 | ↑ +127% |
| HORIZON | PIP | $221.49 | ↑ +127% |
| HORIZON | OMNIA | $222.95 | ↑ +129% |
| BERGEN RISK | ALL PRODUCTS | $227.25 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $231.98 | ↑ +138% |
| UNITED HEALTHCARE | HMO | $231.98 | ↑ +138% |
| QUALCARE | HMO | $234.22 | ↑ +140% |
| QUALCARE | WORKERS COMP | $234.22 | ↑ +140% |
| QUALCARE | PPO | $234.22 | ↑ +140% |
| PRIME HEALTH | AUTO INSURANCE | $242.40 | ↑ +149% |
| PRIME HEALTH | WORKERS COMP | $242.40 | ↑ +149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $242.40 | ↑ +149% |
| AETNA | PPO | $254.52 | ↑ +161% |
| AETNA | HMO | $254.52 | ↑ +161% |
| AETNA | ASA | $254.52 | ↑ +161% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $257.55 | ↑ +164% |
| HORIZON | SHP | $265.79 | ↑ +172% |
| HORIZON | HMO | $275.09 | ↑ +182% |
| HORIZON | INDEMNITY | $278.73 | ↑ +186% |
| HORIZON | PPO | $281.58 | ↑ +189% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray shoulder 1 view (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $34.94 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.30 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $34.94 – $96.23 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $34.94 – $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 | $34.94 – $101.04 |