Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$327.02
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.
$1,980.00
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.
$104.58 with HORIZON vs $10,692.00 with AETNA — 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 | $104.58 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $123.99 | ↓ -62% |
| WELLCARE | MANAGED MEDICAID | $295.19 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| VACCN | ALL PRODUCTS | $295.19 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $309.95 | ↓ -5% |
| AETNA | MANAGED MEDICAID | $318.78 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $327.02 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $340.36 | ↑ +4% |
| CLOVER | MEDICARE ADVANTAGE | $356.40 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $425.70 | ↑ +30% |
| BRIGHTON HEALTH PLAN | PNO | $512.28 | ↑ +57% |
| INTERGROUP | SHARED SAVINGS | $1,386.00 | ↑ +324% |
| INTERGROUP | WORKERS COMP | $1,386.00 | ↑ +324% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,386.00 | ↑ +324% |
| HORIZON | OMNIA | $1,456.88 | ↑ +346% |
| BERGEN RISK | ALL PRODUCTS | $1,485.00 | ↑ +354% |
| PRIME HEALTH | WORKERS COMP | $1,584.00 | ↑ +384% |
| PRIME HEALTH | AUTO INSURANCE | $1,584.00 | ↑ +384% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,683.00 | ↑ +415% |
| HORIZON | SHP | $1,736.86 | ↑ +431% |
| CIGNA | HMO | $1,791.70 | ↑ +448% |
| CIGNA | PPO | $1,791.70 | ↑ +448% |
| HORIZON | HMO | $1,797.64 | ↑ +450% |
| HORIZON | INDEMNITY | $1,821.40 | ↑ +457% |
| QUALCARE | HMO | $1,833.48 | ↑ +461% |
| QUALCARE | WORKERS COMP | $1,833.48 | ↑ +461% |
| QUALCARE | PPO | $1,833.48 | ↑ +461% |
| HORIZON | PPO | $1,840.01 | ↑ +463% |
| AMERIHEALTH | LOCAL HMO | $1,873.08 | ↑ +473% |
| AMERIHEALTH | REGIONAL HMO | $1,873.08 | ↑ +473% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +805% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1021% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2399% |
| HORIZON | PIP | $8,615.00 | ↑ +2534% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +3008% |
| AETNA | PPO | $10,692.00 | ↑ +3170% |
| AETNA | HMO | $10,692.00 | ↑ +3170% |
| AETNA | ASA | $10,692.00 | ↑ +3170% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $51.27 – $645.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $86.80 – $662.36 |
| Community Medical Center | Toms River | $3,786.00 | $88.89 – $641.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $85.76 – $659.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $52.77 – $662.36 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $66.34 – $691.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $171.51 – $650.19 |
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |