Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,170.64
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.
$4,347.00
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.
$156.66 with KARNA vs $9,236.00 with HORIZON — 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 | $156.66 | ↓ -95% |
| HORIZON | MANAGED MEDICAID | $360.00 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $699.87 | ↓ -78% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $747.25 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $782.46 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $895.48 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $934.61 | ↓ -71% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,138.91 | ↓ -64% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $2,186.54 | ↓ -31% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $2,429.97 | ↓ -23% |
| BRIGHTON HEALTH PLAN | PNO | $2,847.29 | ↓ -10% |
| VACCN | ALL PRODUCTS | $2,862.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $2,862.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $2,862.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $2,862.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,005.15 | ↓ -5% |
| INTERGROUP | SHARED SAVINGS | $3,042.90 | ↓ -4% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,042.90 | ↓ -4% |
| INTERGROUP | WORKERS COMP | $3,042.90 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,170.64 | ↑ +0% |
| HORIZON | WORKERS COMP | $3,177.66 | ↑ +0% |
| HORIZON | PIP | $3,177.66 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $3,260.25 | ↑ +3% |
| PRIME HEALTH | WORKERS COMP | $3,477.60 | ↑ +10% |
| PRIME HEALTH | AUTO INSURANCE | $3,477.60 | ↑ +10% |
| OXFORD | ALL PRODUCTS | $3,598.45 | ↑ +13% |
| UNITED HEALTHCARE | HMO | $3,614.53 | ↑ +14% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,694.95 | ↑ +17% |
| AETNA | HMO | $3,897.95 | ↑ +23% |
| AETNA | ASA | $3,897.95 | ↑ +23% |
| AETNA | PPO | $3,897.95 | ↑ +23% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,912.30 | ↑ +23% |
| CIGNA | PPO | $3,933.60 | ↑ +24% |
| CIGNA | HMO | $3,933.60 | ↑ +24% |
| QUALCARE | WORKERS COMP | $4,025.32 | ↑ +27% |
| QUALCARE | HMO | $4,025.32 | ↑ +27% |
| QUALCARE | PPO | $4,025.32 | ↑ +27% |
| AMERIHEALTH | REGIONAL HMO | $4,112.26 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $4,112.26 | ↑ +30% |
| HORIZON | OMNIA | $7,292.00 | ↑ +130% |
| HORIZON | SHP | $8,353.00 | ↑ +163% |
| HORIZON | HMO | $9,023.00 | ↑ +185% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +188% |
| HORIZON | PPO | $9,236.00 | ↑ +191% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $90.76 – $6,255.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $298.80 – $6,421.98 |
| Community Medical Center | Toms River | $3,786.00 | $306.00 – $6,224.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $295.20 – $6,389.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $93.43 – $6,421.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $117.45 – $6,707.33 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $590.40 – $6,304.10 |
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |