Air conduction bilat at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$142.80
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.
$279.00
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.
$44.92 with AETNA vs $627.00 with UNITED HEALTHCARE — 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 | $44.92 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.96 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $50.22 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.99 | ↓ -58% |
| AMERIGROUP | MEDICARE ADVANTAGE | $60.82 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $69.19 | ↓ -52% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -19% |
| HORIZON | MANAGED MEDICAID | $118.00 | ↓ -17% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -5% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $139.50 | ↓ -2% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $167.40 | ↑ +17% |
| HORIZON | OMNIA | $169.91 | ↑ +19% |
| HORIZON | SHP | $169.91 | ↑ +19% |
| HORIZON | PPO | $169.91 | ↑ +19% |
| HORIZON | INDEMNITY | $169.91 | ↑ +19% |
| HORIZON | PIP | $169.91 | ↑ +19% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $181.35 | ↑ +27% |
| INTERGROUP | SHARED SAVINGS | $195.30 | ↑ +37% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $195.30 | ↑ +37% |
| INTERGROUP | WORKERS COMP | $195.30 | ↑ +37% |
| HORIZON | WORKERS COMP | $203.95 | ↑ +43% |
| HORIZON | HMO | $204.00 | ↑ +43% |
| BERGEN RISK | ALL PRODUCTS | $209.25 | ↑ +47% |
| PRIME HEALTH | AUTO INSURANCE | $223.20 | ↑ +56% |
| PRIME HEALTH | WORKERS COMP | $223.20 | ↑ +56% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $237.15 | ↑ +66% |
| AETNA | ASA | $250.18 | ↑ +75% |
| AETNA | HMO | $250.18 | ↑ +75% |
| AETNA | PPO | $250.18 | ↑ +75% |
| QUALCARE | HMO | $258.35 | ↑ +81% |
| QUALCARE | PPO | $258.35 | ↑ +81% |
| QUALCARE | WORKERS COMP | $258.35 | ↑ +81% |
| CIGNA | PPO | $268.57 | ↑ +88% |
| CIGNA | HMO | $268.57 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $275.93 | ↑ +93% |
| AMERIHEALTH | REGIONAL HMO | $275.93 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $499.00 | ↑ +249% |
| UNITED HEALTHCARE | HMO | $627.00 | ↑ +339% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Air conduction bilat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $97.05 | $97.94 – $289.24 |
| Childrens Specialized Hospital | Mountainside | $114.50 | $128.62 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $95.40 | $20.59 – $289.24 |
| Jersey City Medical Center | Jersey City | $57.14 | $25.89 – $302.08 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $69.19 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $65.35 – $499.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $65.35 – $443.00 |