Ant colporrhaphy/rpr cyctocele 57240 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$5,468.70
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.
$8,789.00
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.
$346.74 with HORIZON vs $15,496.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $346.74 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $1,314.48 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $1,415.03 | ↓ -74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,510.83 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $1,582.02 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,889.64 | ↓ -65% |
| VACCN | ALL PRODUCTS | $4,936.45 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,936.45 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $4,936.45 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $4,936.45 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $4,936.45 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $4,936.45 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,183.27 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,468.70 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $6,152.30 | ↑ +13% |
| INTERGROUP | SHARED SAVINGS | $6,152.30 | ↑ +13% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,152.30 | ↑ +13% |
| HORIZON | OMNIA | $6,466.95 | ↑ +18% |
| BERGEN RISK | ALL PRODUCTS | $6,591.75 | ↑ +21% |
| PRIME HEALTH | WORKERS COMP | $7,031.20 | ↑ +29% |
| PRIME HEALTH | AUTO INSURANCE | $7,031.20 | ↑ +29% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,470.65 | ↑ +37% |
| HORIZON | SHP | $7,709.71 | ↑ +41% |
| CIGNA | HMO | $7,953.17 | ↑ +45% |
| CIGNA | PPO | $7,953.17 | ↑ +45% |
| HORIZON | HMO | $7,979.53 | ↑ +46% |
| HORIZON | INDEMNITY | $8,085.00 | ↑ +48% |
| QUALCARE | HMO | $8,138.61 | ↑ +49% |
| QUALCARE | PPO | $8,138.61 | ↑ +49% |
| QUALCARE | WORKERS COMP | $8,138.61 | ↑ +49% |
| HORIZON | PPO | $8,167.62 | ↑ +49% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +49% |
| AMERIHEALTH | REGIONAL HMO | $8,314.39 | ↑ +52% |
| AMERIHEALTH | LOCAL HMO | $8,314.39 | ↑ +52% |
| HORIZON | PIP | $8,615.00 | ↑ +58% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +86% |
| AETNA | PPO | $10,692.00 | ↑ +96% |
| AETNA | HMO | $10,692.00 | ↑ +96% |
| AETNA | ASA | $10,692.00 | ↑ +96% |
| OXFORD | ALL PRODUCTS | $12,418.00 | ↑ +127% |
| UNITED HEALTHCARE | HMO | $15,496.00 | ↑ +183% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ant colporrhaphy/rpr cyctocele 57240 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $313.63 – $10,789.90 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $287.79 – $11,076.60 |
| Community Medical Center | Toms River | $3,786.00 | $294.73 – $10,735.95 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $284.33 – $11,021.22 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $322.85 – $11,076.60 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $312.07 – $11,568.79 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $568.65 – $10,873.28 |
| Bayshore Medical Center | Holmdel | $5,463.96 | $5,463.96 – $6,556.75 |