Abd aorta w/runoff s&i at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,486.86
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.
$7,124.00
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.
$261.06 with CIGNA vs $8,205.81 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 |
|---|---|---|---|
| CIGNA | PPO | $261.06 | ↓ -93% |
| CIGNA | HMO | $261.06 | ↓ -93% |
| KARNA | MEDICARE ADVANTAGE | $294.97 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $1,146.96 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,224.62 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $1,282.32 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $1,357.12 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,531.66 | ↓ -56% |
| WELLCARE | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| VACCN | ALL PRODUCTS | $3,147.50 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,147.50 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,304.88 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,486.86 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $4,986.80 | ↑ +43% |
| INTERGROUP | WORKERS COMP | $4,986.80 | ↑ +43% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,986.80 | ↑ +43% |
| HORIZON | PIP | $5,207.64 | ↑ +49% |
| HORIZON | WORKERS COMP | $5,207.64 | ↑ +49% |
| HORIZON | OMNIA | $5,241.84 | ↑ +50% |
| BERGEN RISK | ALL PRODUCTS | $5,343.00 | ↑ +53% |
| QUALCARE | WORKERS COMP | $5,506.85 | ↑ +58% |
| QUALCARE | PPO | $5,506.85 | ↑ +58% |
| QUALCARE | HMO | $5,506.85 | ↑ +58% |
| PRIME HEALTH | AUTO INSURANCE | $5,699.20 | ↑ +63% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,699.20 | ↑ +63% |
| PRIME HEALTH | WORKERS COMP | $5,699.20 | ↑ +63% |
| AETNA | ASA | $5,984.16 | ↑ +72% |
| AETNA | PPO | $5,984.16 | ↑ +72% |
| AETNA | HMO | $5,984.16 | ↑ +72% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,055.40 | ↑ +74% |
| HORIZON | SHP | $6,249.17 | ↑ +79% |
| HORIZON | HMO | $6,467.88 | ↑ +85% |
| HORIZON | INDEMNITY | $6,553.37 | ↑ +88% |
| HORIZON | PPO | $6,620.33 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $6,739.30 | ↑ +93% |
| AMERIHEALTH | REGIONAL HMO | $6,739.30 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $8,205.81 | ↑ +135% |
| OXFORD | ALL PRODUCTS | $8,205.81 | ↑ +135% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abd aorta w/runoff s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,490.33 | $80.30 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $1,682.48 | $143.50 – $7,062.48 |
| Community Medical Center | Toms River | $1,646.75 | $143.50 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $1,283.50 | $143.50 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $1,653.90 | $82.67 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $1,649.93 | $103.92 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $1,737.27 | $143.50 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $230.38 – $7,747.94 |