X-ray skull < 4 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.
$583.00
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.
$69.73 with KARNA vs $541.78 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 | $69.73 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $88.93 | ↓ -25% |
| AETNA | MANAGED MEDICAID | $93.86 | ↓ -20% |
| AMERIHEALTH | LOCAL HMO | $98.45 | ↓ -16% |
| CIGNA | PPO | $98.73 | ↓ -16% |
| CIGNA | HMO | $98.73 | ↓ -16% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $100.22 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $104.94 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| HORIZON | MANAGED MEDICAID | $111.06 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.35 | ↑ +6% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| INTERGROUP | WORKERS COMP | $408.10 | ↑ +246% |
| INTERGROUP | SHARED SAVINGS | $408.10 | ↑ +246% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $408.10 | ↑ +246% |
| HORIZON | PIP | $426.17 | ↑ +262% |
| HORIZON | WORKERS COMP | $426.17 | ↑ +262% |
| HORIZON | OMNIA | $428.97 | ↑ +264% |
| BERGEN RISK | ALL PRODUCTS | $437.25 | ↑ +271% |
| QUALCARE | HMO | $450.66 | ↑ +283% |
| QUALCARE | WORKERS COMP | $450.66 | ↑ +283% |
| QUALCARE | PPO | $450.66 | ↑ +283% |
| PRIME HEALTH | WORKERS COMP | $466.40 | ↑ +296% |
| PRIME HEALTH | AUTO INSURANCE | $466.40 | ↑ +296% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $466.40 | ↑ +296% |
| AETNA | ASA | $489.72 | ↑ +316% |
| AETNA | HMO | $489.72 | ↑ +316% |
| AETNA | PPO | $489.72 | ↑ +316% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $495.55 | ↑ +321% |
| HORIZON | SHP | $511.41 | ↑ +334% |
| HORIZON | HMO | $529.31 | ↑ +349% |
| HORIZON | INDEMNITY | $536.30 | ↑ +355% |
| HORIZON | PPO | $541.78 | ↑ +360% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray skull < 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $95.16 | $18.76 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $107.43 | $30.88 – $238.62 |
| Community Medical Center | Toms River | $105.15 | $30.88 – $231.28 |
| Clara Maass Medical Center | Belleville | $84.33 | $30.88 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $105.60 | $19.31 – $238.62 |
| Jersey City Medical Center | Jersey City | $105.35 | $24.27 – $249.21 |
| Monmouth Medical Center | Long Branch | $110.93 | $30.88 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |