Biopsy of heart lining at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,486.86
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.
$6,545.00
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.
$1,053.75 with AETNA vs $19,949.00 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,053.75 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,125.09 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $1,132.92 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $1,178.10 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,407.18 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $2,429.00 | ↓ -30% |
| VACCN | ALL PRODUCTS | $3,147.50 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,147.50 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,147.50 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,304.88 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,486.86 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $4,581.50 | ↑ +31% |
| INTERGROUP | SHARED SAVINGS | $4,581.50 | ↑ +31% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,581.50 | ↑ +31% |
| HORIZON | OMNIA | $4,815.81 | ↑ +38% |
| BERGEN RISK | ALL PRODUCTS | $4,908.75 | ↑ +41% |
| PRIME HEALTH | WORKERS COMP | $5,236.00 | ↑ +50% |
| PRIME HEALTH | AUTO INSURANCE | $5,236.00 | ↑ +50% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,563.25 | ↑ +60% |
| HORIZON | SHP | $5,741.27 | ↑ +65% |
| HORIZON | HMO | $5,942.21 | ↑ +70% |
| HORIZON | INDEMNITY | $6,020.75 | ↑ +73% |
| QUALCARE | HMO | $6,060.67 | ↑ +74% |
| QUALCARE | WORKERS COMP | $6,060.67 | ↑ +74% |
| QUALCARE | PPO | $6,080.31 | ↑ +74% |
| HORIZON | PPO | $6,082.27 | ↑ +74% |
| AMERIHEALTH | REGIONAL HMO | $6,191.57 | ↑ +78% |
| AMERIHEALTH | LOCAL HMO | $6,191.57 | ↑ +78% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +134% |
| HORIZON | PIP | $8,615.00 | ↑ +147% |
| AETNA | ASA | $9,605.00 | ↑ +175% |
| AETNA | PPO | $9,605.00 | ↑ +175% |
| AETNA | HMO | $9,605.00 | ↑ +175% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +242% |
| OXFORD | ALL PRODUCTS | $12,418.00 | ↑ +256% |
| CIGNA | HMO | $14,806.00 | ↑ +325% |
| UNITED HEALTHCARE | HMO | $15,496.00 | ↑ +344% |
| CIGNA | PPO | $19,949.00 | ↑ +472% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,252.33 | $330.84 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $2,618.02 | $2,707.46 – $7,062.48 |
| Clara Maass Medical Center | Belleville | $811.11 | $2,674.84 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $2,573.54 | $340.57 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $1,386.44 | $428.14 – $7,376.29 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $1,132.92 – $3,892.02 |
| Ocean University Medical Center | Brick | $3,439.84 | $1,081.12 – $14,806.00 |