X-ray sternum > 2 views 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.
$394.00
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.
$60.47 with AMERIHEALTH vs $366.14 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $60.47 | ↓ -38% |
| AETNA | MANAGED MEDICAID | $63.43 | ↓ -35% |
| KARNA | MEDICARE ADVANTAGE | $65.01 | ↓ -33% |
| AMERIHEALTH | LOCAL HMO | $66.95 | ↓ -31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $67.73 | ↓ -31% |
| CLOVER | MEDICARE ADVANTAGE | $70.92 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $75.06 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $84.71 | ↓ -13% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| CIGNA | HMO | $88.59 | ↓ -9% |
| CIGNA | PPO | $88.59 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $231.98 | ↑ +138% |
| OXFORD | ALL PRODUCTS | $231.98 | ↑ +138% |
| INTERGROUP | SHARED SAVINGS | $275.80 | ↑ +183% |
| INTERGROUP | WORKERS COMP | $275.80 | ↑ +183% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $275.80 | ↑ +183% |
| HORIZON | WORKERS COMP | $288.01 | ↑ +195% |
| HORIZON | PIP | $288.01 | ↑ +195% |
| HORIZON | OMNIA | $289.91 | ↑ +197% |
| BERGEN RISK | ALL PRODUCTS | $295.50 | ↑ +203% |
| QUALCARE | HMO | $304.56 | ↑ +212% |
| QUALCARE | WORKERS COMP | $304.56 | ↑ +212% |
| QUALCARE | PPO | $304.56 | ↑ +212% |
| PRIME HEALTH | WORKERS COMP | $315.20 | ↑ +223% |
| PRIME HEALTH | AUTO INSURANCE | $315.20 | ↑ +223% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $315.20 | ↑ +223% |
| AETNA | ASA | $330.96 | ↑ +239% |
| AETNA | HMO | $330.96 | ↑ +239% |
| AETNA | PPO | $330.96 | ↑ +239% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $334.90 | ↑ +243% |
| HORIZON | SHP | $345.62 | ↑ +254% |
| HORIZON | HMO | $357.71 | ↑ +267% |
| HORIZON | INDEMNITY | $362.44 | ↑ +272% |
| HORIZON | PPO | $366.14 | ↑ +275% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sternum > 2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $114.49 | $17.50 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $84.54 | $29.68 – $197.58 |
| Community Medical Center | Toms River | $126.51 | $29.68 – $191.50 |
| Clara Maass Medical Center | Belleville | $102.43 | $29.68 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $83.11 | $18.02 – $197.58 |
| Jersey City Medical Center | Jersey City | $126.75 | $22.65 – $206.34 |
| Monmouth Medical Center | Long Branch | $133.46 | $29.68 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $49.03 – $219.04 |