X-ray thoracolumbar spine >=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.
$508.00
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.
$64.03 with AMERIHEALTH vs $472.08 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 | $64.03 | ↓ -34% |
| KARNA | MEDICARE ADVANTAGE | $66.92 | ↓ -31% |
| AMERIHEALTH | LOCAL HMO | $70.88 | ↓ -27% |
| AETNA | MANAGED MEDICAID | $81.79 | ↓ -16% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $87.33 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -10% |
| CIGNA | PPO | $89.83 | ↓ -8% |
| CIGNA | HMO | $89.83 | ↓ -8% |
| CLOVER | MEDICARE ADVANTAGE | $91.44 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -5% |
| HORIZON | MANAGED MEDICAID | $96.77 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $109.22 | ↑ +12% |
| OXFORD | ALL PRODUCTS | $231.98 | ↑ +138% |
| UNITED HEALTHCARE | HMO | $231.98 | ↑ +138% |
| INTERGROUP | SHARED SAVINGS | $355.60 | ↑ +265% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $355.60 | ↑ +265% |
| INTERGROUP | WORKERS COMP | $355.60 | ↑ +265% |
| HORIZON | WORKERS COMP | $371.35 | ↑ +281% |
| HORIZON | PIP | $371.35 | ↑ +281% |
| HORIZON | OMNIA | $373.79 | ↑ +283% |
| BERGEN RISK | ALL PRODUCTS | $381.00 | ↑ +291% |
| QUALCARE | PPO | $392.68 | ↑ +303% |
| QUALCARE | WORKERS COMP | $392.68 | ↑ +303% |
| QUALCARE | HMO | $392.68 | ↑ +303% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $406.40 | ↑ +317% |
| PRIME HEALTH | AUTO INSURANCE | $406.40 | ↑ +317% |
| PRIME HEALTH | WORKERS COMP | $406.40 | ↑ +317% |
| AETNA | ASA | $426.72 | ↑ +337% |
| AETNA | PPO | $426.72 | ↑ +337% |
| AETNA | HMO | $426.72 | ↑ +337% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $431.80 | ↑ +343% |
| HORIZON | SHP | $445.62 | ↑ +357% |
| HORIZON | HMO | $461.21 | ↑ +373% |
| HORIZON | INDEMNITY | $467.31 | ↑ +379% |
| HORIZON | PPO | $472.08 | ↑ +384% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray thoracolumbar spine >=2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $89.53 | $18.02 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $166.97 | $31.18 – $197.58 |
| Community Medical Center | Toms River | $98.92 | $31.18 – $191.50 |
| Clara Maass Medical Center | Belleville | $97.06 | $31.18 – $196.59 |
| Childrens Specialized Hospital | Mountainside | $145.50 | $19.01 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $164.14 | $18.55 – $197.58 |
| Jersey City Medical Center | Jersey City | $99.12 | $23.32 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $50.46 – $219.04 |