Albumin (human), 5%, 250 ml at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$53.08
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.
$182.24
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.
$28.26 with AETNA vs $163.13 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $28.26 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $30.18 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $31.60 | ↓ -40% |
| HORIZON | MANAGED MEDICAID | $45.12 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $53.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $53.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $53.08 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $53.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $53.08 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $53.08 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $53.08 | ↑ +0% |
| CIGNA | PPO | $55.30 | ↑ +4% |
| CIGNA | HMO | $55.30 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $55.73 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $55.86 | ↑ +5% |
| AMERIHEALTH | REGIONAL HMO | $55.86 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $70.59 | ↑ +33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $87.77 | ↑ +65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $87.77 | ↑ +65% |
| OXFORD | ALL PRODUCTS | $99.18 | ↑ +87% |
| UNITED HEALTHCARE | HMO | $99.18 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $105.32 | ↑ +98% |
| BRIGHTON HEALTH PLAN | PNO | $108.57 | ↑ +105% |
| INTERGROUP | WORKERS COMP | $122.88 | ↑ +131% |
| INTERGROUP | SHARED SAVINGS | $122.88 | ↑ +131% |
| HORIZON | WORKERS COMP | $128.32 | ↑ +142% |
| HORIZON | PIP | $128.32 | ↑ +142% |
| HORIZON | OMNIA | $129.16 | ↑ +143% |
| PRIME HEALTH | AUTO INSURANCE | $140.43 | ↑ +165% |
| PRIME HEALTH | WORKERS COMP | $140.43 | ↑ +165% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $149.21 | ↑ +181% |
| HORIZON | SHP | $153.98 | ↑ +190% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $157.99 | ↑ +198% |
| HORIZON | HMO | $159.37 | ↑ +200% |
| HORIZON | INDEMNITY | $161.48 | ↑ +204% |
| HORIZON | PPO | $163.13 | ↑ +207% |
| QUALCARE | WORKERS COMP | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| AETNA | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $53.08 | $45.12 – $63.70 |
| Hackensack University Medical Center | Hackensack | $53.08 | $42.46 – $70.59 |
| Ocean University Medical Center | Brick | $53.08 | $45.12 – $112.64 |
| Jersey Shore University Medical Center | Neptune City | $53.08 | $45.12 – $69.13 |
| Palisades Medical Center | North Bergen | $53.08 | $45.12 – $70.59 |
| Raritan Bay Medical Center | Perth Amboy | $53.08 | $45.12 – $112.64 |
| Riverview Medical Center | Red Bank | $53.08 | $45.12 – $112.64 |
| Southern Ocean Medical Center | Manahawkin | $53.08 | $45.12 – $69.13 |