Administration vaccine pneumococcal at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$51.11
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.
$165.00
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.
$26.57 with AETNA vs $158.83 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $26.57 | ↓ -48% |
| HORIZON | MANAGED MEDICAID | $26.92 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $28.36 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $29.70 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $35.48 | ↓ -31% |
| AETNA | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| VACCN | ALL PRODUCTS | $46.14 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $46.14 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $51.11 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $51.18 | ↑ +0% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $83.00 | ↑ +62% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $92.24 | ↑ +80% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $115.50 | ↑ +126% |
| INTERGROUP | WORKERS COMP | $115.50 | ↑ +126% |
| INTERGROUP | SHARED SAVINGS | $115.50 | ↑ +126% |
| HORIZON | PIP | $120.62 | ↑ +136% |
| HORIZON | WORKERS COMP | $120.62 | ↑ +136% |
| HORIZON | OMNIA | $121.41 | ↑ +138% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +142% |
| PRIME HEALTH | WORKERS COMP | $132.00 | ↑ +158% |
| PRIME HEALTH | AUTO INSURANCE | $132.00 | ↑ +158% |
| OXFORD | ALL PRODUCTS | $136.59 | ↑ +167% |
| UNITED HEALTHCARE | HMO | $137.20 | ↑ +168% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +174% |
| HORIZON | SHP | $144.74 | ↑ +183% |
| AETNA | ASA | $147.96 | ↑ +189% |
| AETNA | PPO | $147.96 | ↑ +189% |
| AETNA | HMO | $147.96 | ↑ +189% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $148.50 | ↑ +191% |
| HORIZON | HMO | $149.80 | ↑ +193% |
| HORIZON | INDEMNITY | $151.78 | ↑ +197% |
| QUALCARE | WORKERS COMP | $152.79 | ↑ +199% |
| QUALCARE | PPO | $152.79 | ↑ +199% |
| QUALCARE | HMO | $152.79 | ↑ +199% |
| HORIZON | PPO | $153.33 | ↑ +200% |
| AMERIHEALTH | LOCAL HMO | $156.09 | ↑ +205% |
| AMERIHEALTH | REGIONAL HMO | $156.09 | ↑ +205% |
| CIGNA | HMO | $158.83 | ↑ +211% |
| CIGNA | PPO | $158.83 | ↑ +211% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $34.72 | $35.13 – $100.86 |
| Cooperman Barnabas Medical Center | Livingston | $59.33 | $22.34 – $103.54 |
| Community Medical Center | Toms River | $38.36 | $22.88 – $100.36 |
| Clara Maass Medical Center | Belleville | $34.60 | $22.07 – $103.02 |
| Newark Beth Israel Medical Center | Newark | $58.32 | $40.51 – $103.54 |
| Jersey City Medical Center | Jersey City | $38.44 | $24.23 – $108.14 |
| Monmouth Medical Center | Long Branch | $40.47 | $41.00 – $101.63 |
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $61.28 |