X-ray surgical specimen at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$607.42
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.
$1,375.00
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.
$40.91 with AMERIHEALTH vs $1,384.69 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $40.91 | ↓ -93% |
| AMERIHEALTH | LOCAL HMO | $45.29 | ↓ -93% |
| KARNA | MEDICARE ADVANTAGE | $82.01 | ↓ -86% |
| CIGNA | PPO | $98.73 | ↓ -84% |
| CIGNA | HMO | $98.73 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $221.38 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $236.36 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↓ -59% |
| HORIZON | MANAGED MEDICAID | $261.94 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $295.63 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| VACCN | ALL PRODUCTS | $548.30 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $548.30 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $575.72 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $607.42 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $962.50 | ↑ +58% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $962.50 | ↑ +58% |
| INTERGROUP | SHARED SAVINGS | $962.50 | ↑ +58% |
| HORIZON | WORKERS COMP | $1,005.13 | ↑ +65% |
| HORIZON | PIP | $1,005.13 | ↑ +65% |
| HORIZON | OMNIA | $1,011.73 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +70% |
| QUALCARE | HMO | $1,062.88 | ↑ +75% |
| QUALCARE | WORKERS COMP | $1,062.88 | ↑ +75% |
| QUALCARE | PPO | $1,062.88 | ↑ +75% |
| PRIME HEALTH | AUTO INSURANCE | $1,100.00 | ↑ +81% |
| PRIME HEALTH | WORKERS COMP | $1,100.00 | ↑ +81% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,100.00 | ↑ +81% |
| AETNA | PPO | $1,155.00 | ↑ +90% |
| AETNA | HMO | $1,155.00 | ↑ +90% |
| AETNA | ASA | $1,155.00 | ↑ +90% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +92% |
| HORIZON | SHP | $1,206.15 | ↑ +99% |
| HORIZON | HMO | $1,248.36 | ↑ +106% |
| HORIZON | INDEMNITY | $1,264.86 | ↑ +108% |
| HORIZON | PPO | $1,277.79 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $1,384.69 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $1,384.69 | ↑ +128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $151.66 | $22.13 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $171.21 | $19.88 – $1,230.30 |
| Community Medical Center | Toms River | $167.57 | $19.88 – $1,192.47 |
| Clara Maass Medical Center | Belleville | $201.08 | $19.88 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $168.30 | $19.88 – $1,230.30 |
| Jersey City Medical Center | Jersey City | $167.90 | $19.88 – $1,284.96 |
| Monmouth Medical Center | Long Branch | $176.79 | $24.60 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $23.80 – $1,307.42 |