Antigen therapy services 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.
$221.00
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.
$5.06 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 | $5.06 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $35.58 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $37.99 | ↓ -26% |
| CLOVER | MEDICARE ADVANTAGE | $39.78 | ↓ -22% |
| HORIZON | MANAGED MEDICAID | $44.00 | ↓ -14% |
| AMERIGROUP | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $46.14 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $46.14 | ↓ -10% |
| VACCN | ALL PRODUCTS | $46.14 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $47.52 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $48.45 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $51.11 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $154.70 | ↑ +203% |
| INTERGROUP | WORKERS COMP | $154.70 | ↑ +203% |
| INTERGROUP | SHARED SAVINGS | $154.70 | ↑ +203% |
| HORIZON | PIP | $161.55 | ↑ +216% |
| HORIZON | WORKERS COMP | $161.55 | ↑ +216% |
| HORIZON | OMNIA | $162.61 | ↑ +218% |
| BERGEN RISK | ALL PRODUCTS | $165.75 | ↑ +224% |
| PRIME HEALTH | WORKERS COMP | $176.80 | ↑ +246% |
| PRIME HEALTH | AUTO INSURANCE | $176.80 | ↑ +246% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $187.85 | ↑ +268% |
| HORIZON | SHP | $193.86 | ↑ +279% |
| AETNA | ASA | $198.17 | ↑ +288% |
| AETNA | PPO | $198.17 | ↑ +288% |
| AETNA | HMO | $198.17 | ↑ +288% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $198.90 | ↑ +289% |
| HORIZON | HMO | $200.65 | ↑ +293% |
| HORIZON | INDEMNITY | $203.30 | ↑ +298% |
| QUALCARE | HMO | $204.65 | ↑ +300% |
| QUALCARE | PPO | $204.65 | ↑ +300% |
| QUALCARE | WORKERS COMP | $204.65 | ↑ +300% |
| HORIZON | PPO | $205.38 | ↑ +302% |
| AMERIHEALTH | REGIONAL HMO | $209.07 | ↑ +309% |
| AMERIHEALTH | LOCAL HMO | $209.07 | ↑ +309% |
| CIGNA | PPO | $212.73 | ↑ +316% |
| CIGNA | HMO | $212.73 | ↑ +316% |
| OXFORD | ALL PRODUCTS | $553.00 | ↑ +982% |
| UNITED HEALTHCARE | HMO | $641.00 | ↑ +1154% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Antigen therapy services at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $51.07 | $51.07 – $391.00 |
| Hackensack University Medical Center | Hackensack | $54.34 | $5.06 – $540.00 |
| Ocean University Medical Center | Brick | $50.43 | $4.94 – $391.00 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $4.94 – $411.00 |
| Palisades Medical Center | North Bergen | $54.34 | $5.06 – $803.00 |
| Raritan Bay Medical Center | Perth Amboy | $51.11 | $5.06 – $387.00 |
| Riverview Medical Center | Red Bank | $51.07 | $4.94 – $396.00 |
| Southern Ocean Medical Center | Manahawkin | $50.43 | $4.94 – $393.00 |