Allergy injections; 2 or more 95117 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.
$212.00
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.
$22.41 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 | $22.41 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $34.13 | ↓ -33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.44 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $38.16 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $45.58 | ↓ -11% |
| VACCN | ALL PRODUCTS | $46.14 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $46.14 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $51.11 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $78.00 | ↑ +53% |
| INTERGROUP | WORKERS COMP | $148.40 | ↑ +190% |
| INTERGROUP | SHARED SAVINGS | $148.40 | ↑ +190% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $148.40 | ↑ +190% |
| HORIZON | PIP | $154.97 | ↑ +203% |
| HORIZON | WORKERS COMP | $154.97 | ↑ +203% |
| HORIZON | OMNIA | $155.99 | ↑ +205% |
| BERGEN RISK | ALL PRODUCTS | $159.00 | ↑ +211% |
| PRIME HEALTH | WORKERS COMP | $169.60 | ↑ +232% |
| PRIME HEALTH | AUTO INSURANCE | $169.60 | ↑ +232% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $180.20 | ↑ +253% |
| HORIZON | SHP | $185.97 | ↑ +264% |
| AETNA | ASA | $190.10 | ↑ +272% |
| AETNA | PPO | $190.10 | ↑ +272% |
| AETNA | HMO | $190.10 | ↑ +272% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $190.80 | ↑ +273% |
| HORIZON | HMO | $192.47 | ↑ +277% |
| HORIZON | INDEMNITY | $195.02 | ↑ +282% |
| QUALCARE | HMO | $196.31 | ↑ +284% |
| QUALCARE | PPO | $196.31 | ↑ +284% |
| QUALCARE | WORKERS COMP | $196.31 | ↑ +284% |
| HORIZON | PPO | $197.01 | ↑ +285% |
| AMERIHEALTH | REGIONAL HMO | $200.55 | ↑ +292% |
| AMERIHEALTH | LOCAL HMO | $200.55 | ↑ +292% |
| CIGNA | PPO | $204.07 | ↑ +299% |
| CIGNA | HMO | $204.07 | ↑ +299% |
| OXFORD | ALL PRODUCTS | $553.00 | ↑ +982% |
| UNITED HEALTHCARE | HMO | $641.00 | ↑ +1154% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Allergy injections; 2 or more 95117 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $15.01 | $6.49 – $100.86 |
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $391.00 |
| Hackensack University Medical Center | Hackensack | $54.34 | $22.41 – $540.00 |
| Ocean University Medical Center | Brick | $50.43 | $21.20 – $391.00 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $21.20 – $411.00 |
| Palisades Medical Center | North Bergen | $54.34 | $22.41 – $803.00 |
| Raritan Bay Medical Center | Perth Amboy | $51.11 | $22.41 – $387.00 |
| Riverview Medical Center | Red Bank | $51.07 | $21.20 – $396.00 |