Biopsy tongue anterior two-thirds at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$564.16
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.
?
What you pay up front if you don't use insurance.
$2,094.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$50.40 with HORIZON vs $10,163.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $50.40 | ↓ -91% |
| KARNA | MEDICARE ADVANTAGE | $233.25 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $337.13 | ↓ -40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $359.96 | ↓ -36% |
| CLOVER | MEDICARE ADVANTAGE | $376.92 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $450.21 | ↓ -20% |
| VACCN | ALL PRODUCTS | $509.25 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $509.25 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $534.71 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $564.16 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $1,465.80 | ↑ +160% |
| INTERGROUP | SHARED SAVINGS | $1,465.80 | ↑ +160% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,465.80 | ↑ +160% |
| HORIZON | OMNIA | $1,540.77 | ↑ +173% |
| BERGEN RISK | ALL PRODUCTS | $1,570.50 | ↑ +178% |
| PRIME HEALTH | WORKERS COMP | $1,675.20 | ↑ +197% |
| PRIME HEALTH | AUTO INSURANCE | $1,675.20 | ↑ +197% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,779.90 | ↑ +215% |
| HORIZON | SHP | $1,836.86 | ↑ +226% |
| CIGNA | HMO | $1,894.86 | ↑ +236% |
| CIGNA | PPO | $1,894.86 | ↑ +236% |
| HORIZON | HMO | $1,901.14 | ↑ +237% |
| HORIZON | INDEMNITY | $1,926.27 | ↑ +241% |
| QUALCARE | WORKERS COMP | $1,939.04 | ↑ +244% |
| QUALCARE | HMO | $1,939.04 | ↑ +244% |
| QUALCARE | PPO | $1,939.04 | ↑ +244% |
| HORIZON | PPO | $1,945.95 | ↑ +245% |
| AMERIHEALTH | LOCAL HMO | $1,980.92 | ↑ +251% |
| AMERIHEALTH | REGIONAL HMO | $1,980.92 | ↑ +251% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +424% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +550% |
| AETNA | ASA | $4,025.00 | ↑ +613% |
| AETNA | PPO | $4,025.00 | ↑ +613% |
| AETNA | HMO | $4,025.00 | ↑ +613% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1349% |
| HORIZON | PIP | $8,615.00 | ↑ +1427% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1701% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy tongue anterior two-thirds at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $19.51 – $1,113.10 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $41.83 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $42.84 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $41.33 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $20.09 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $25.25 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $82.66 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |