Aco annual medicare visit (awv), subsq g0439aco at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$160.69
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.
?
What you pay up front if you don't use insurance.
$410.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.01 with AETNA vs $394.67 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $66.01 | ↓ -59% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.48 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $73.80 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.15 | ↓ -45% |
| AETNA | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $160.69 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $160.69 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $160.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $168.72 | ↑ +5% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $206.23 | ↑ +28% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $229.19 | ↑ +43% |
| KARNA | MEDICARE ADVANTAGE | $237.19 | ↑ +48% |
| INTERGROUP | SHARED SAVINGS | $287.00 | ↑ +79% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $287.00 | ↑ +79% |
| INTERGROUP | WORKERS COMP | $287.00 | ↑ +79% |
| HORIZON | WORKERS COMP | $299.71 | ↑ +87% |
| HORIZON | PIP | $299.71 | ↑ +87% |
| HORIZON | OMNIA | $301.68 | ↑ +88% |
| BERGEN RISK | ALL PRODUCTS | $307.50 | ↑ +91% |
| PRIME HEALTH | WORKERS COMP | $328.00 | ↑ +104% |
| PRIME HEALTH | AUTO INSURANCE | $328.00 | ↑ +104% |
| OXFORD | ALL PRODUCTS | $339.40 | ↑ +111% |
| UNITED HEALTHCARE | HMO | $340.92 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $348.50 | ↑ +117% |
| HORIZON | SHP | $359.65 | ↑ +124% |
| AETNA | ASA | $367.65 | ↑ +129% |
| AETNA | PPO | $367.65 | ↑ +129% |
| AETNA | HMO | $367.65 | ↑ +129% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $369.00 | ↑ +130% |
| HORIZON | HMO | $372.24 | ↑ +132% |
| HORIZON | INDEMNITY | $377.16 | ↑ +135% |
| QUALCARE | WORKERS COMP | $379.66 | ↑ +136% |
| QUALCARE | PPO | $379.66 | ↑ +136% |
| QUALCARE | HMO | $379.66 | ↑ +136% |
| HORIZON | PPO | $381.01 | ↑ +137% |
| AMERIHEALTH | REGIONAL HMO | $387.86 | ↑ +141% |
| AMERIHEALTH | LOCAL HMO | $387.86 | ↑ +141% |
| CIGNA | PPO | $394.67 | ↑ +146% |
| CIGNA | HMO | $394.67 | ↑ +146% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $160.69 | $160.69 – $192.83 |
| Hackensack University Medical Center | Hackensack | $160.69 | $128.55 – $237.19 |
| Ocean University Medical Center | Brick | $160.69 | $160.69 – $228.47 |
| Jersey Shore University Medical Center | Neptune City | $160.69 | $128.55 – $228.47 |
| Palisades Medical Center | North Bergen | $160.69 | $160.69 – $237.19 |
| Raritan Bay Medical Center | Perth Amboy | $160.69 | $160.69 – $237.19 |
| Riverview Medical Center | Red Bank | $160.69 | $160.69 – $228.47 |
| Southern Ocean Medical Center | Manahawkin | $160.69 | $160.69 – $228.47 |