All tstg perq&iq drugs/biol at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$43.48
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.
$11.90 with KARNA vs $641.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $11.90 | ↓ -73% |
| HORIZON | MANAGED MEDICAID | $19.20 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $26.57 | ↓ -39% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $28.36 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $29.70 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $35.48 | ↓ -18% |
| WELLCARE | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $39.25 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| VACCN | ALL PRODUCTS | $39.25 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $41.21 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.48 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $115.50 | ↑ +166% |
| INTERGROUP | SHARED SAVINGS | $115.50 | ↑ +166% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $115.50 | ↑ +166% |
| HORIZON | PIP | $120.62 | ↑ +177% |
| HORIZON | WORKERS COMP | $120.62 | ↑ +177% |
| HORIZON | OMNIA | $121.41 | ↑ +179% |
| BERGEN RISK | ALL PRODUCTS | $123.75 | ↑ +185% |
| PRIME HEALTH | WORKERS COMP | $132.00 | ↑ +204% |
| PRIME HEALTH | AUTO INSURANCE | $132.00 | ↑ +204% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $140.25 | ↑ +223% |
| HORIZON | SHP | $144.74 | ↑ +233% |
| AETNA | ASA | $147.96 | ↑ +240% |
| AETNA | PPO | $147.96 | ↑ +240% |
| AETNA | HMO | $147.96 | ↑ +240% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $148.50 | ↑ +242% |
| HORIZON | HMO | $149.80 | ↑ +245% |
| HORIZON | INDEMNITY | $151.78 | ↑ +249% |
| QUALCARE | HMO | $152.79 | ↑ +251% |
| QUALCARE | PPO | $152.79 | ↑ +251% |
| QUALCARE | WORKERS COMP | $152.79 | ↑ +251% |
| HORIZON | PPO | $153.33 | ↑ +253% |
| AMERIHEALTH | REGIONAL HMO | $156.09 | ↑ +259% |
| AMERIHEALTH | LOCAL HMO | $156.09 | ↑ +259% |
| CIGNA | PPO | $158.83 | ↑ +265% |
| CIGNA | HMO | $158.83 | ↑ +265% |
| OXFORD | ALL PRODUCTS | $553.00 | ↑ +1172% |
| UNITED HEALTHCARE | HMO | $641.00 | ↑ +1374% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $28.15 | $10.38 – $99.72 |
| Cooperman Barnabas Medical Center | Livingston | $31.78 | $15.94 – $88.08 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $391.00 |
| Hackensack University Medical Center | Hackensack | $46.22 | $11.90 – $540.00 |
| Ocean University Medical Center | Brick | $42.90 | $11.56 – $391.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $11.56 – $411.00 |
| Palisades Medical Center | North Bergen | $46.22 | $11.90 – $803.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $11.90 – $387.00 |