Angioplasty/iliac/init ves/unilat 37220 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$6,316.26
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.
$13,874.00
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.
$808.94 with KARNA vs $25,800.00 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 | $808.94 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $2,233.71 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,384.94 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $2,497.32 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $2,831.52 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $2,858.04 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,982.91 | ↓ -53% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,634.99 | ↓ -42% |
| VACCN | ALL PRODUCTS | $5,701.52 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,701.52 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,986.60 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,316.26 | ↑ +0% |
| HORIZON | OMNIA | $7,564.00 | ↑ +20% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +29% |
| HORIZON | PIP | $8,615.00 | ↑ +36% |
| HORIZON | SHP | $8,665.00 | ↑ +37% |
| HORIZON | HMO | $9,360.00 | ↑ +48% |
| HORIZON | INDEMNITY | $9,469.00 | ↑ +50% |
| HORIZON | PPO | $9,581.00 | ↑ +52% |
| BRIGHTON HEALTH PLAN | PNO | $9,684.56 | ↑ +53% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,711.80 | ↑ +54% |
| INTERGROUP | SHARED SAVINGS | $9,711.80 | ↑ +54% |
| INTERGROUP | WORKERS COMP | $9,711.80 | ↑ +54% |
| BERGEN RISK | ALL PRODUCTS | $10,405.50 | ↑ +65% |
| AETNA | ASA | $10,692.00 | ↑ +69% |
| AETNA | PPO | $10,692.00 | ↑ +69% |
| AETNA | HMO | $10,692.00 | ↑ +69% |
| PRIME HEALTH | WORKERS COMP | $11,099.20 | ↑ +76% |
| PRIME HEALTH | AUTO INSURANCE | $11,099.20 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,792.90 | ↑ +87% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +89% |
| QUALCARE | WORKERS COMP | $12,847.32 | ↑ +103% |
| QUALCARE | HMO | $12,847.32 | ↑ +103% |
| QUALCARE | PPO | $12,847.32 | ↑ +103% |
| AMERIHEALTH | REGIONAL HMO | $13,124.80 | ↑ +108% |
| AMERIHEALTH | LOCAL HMO | $13,124.80 | ↑ +108% |
| CIGNA | HMO | $14,806.00 | ↑ +134% |
| CIGNA | PPO | $19,949.00 | ↑ +216% |
| OXFORD | ALL PRODUCTS | $20,656.00 | ↑ +227% |
| UNITED HEALTHCARE | HMO | $25,800.00 | ↑ +308% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,283.24 – $12,462.16 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $2,350.16 – $12,793.30 |
| Community Medical Center | Toms River | $3,786.00 | $2,406.79 – $12,399.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $2,321.85 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,320.98 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,660.67 – $13,361.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,643.69 – $12,558.45 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |