Bld exchange truj oth thn nb at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$484.32
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.
$1,335.00
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.
$108.38 with UNITED HEALTHCARE vs $1,262.91 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $108.38 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $214.94 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $240.30 | ↓ -50% |
| KARNA | MEDICARE ADVANTAGE | $256.61 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $287.03 | ↓ -41% |
| OXFORD | ALL PRODUCTS | $311.00 | ↓ -36% |
| UNITED HEALTHCARE | HMO | $382.00 | ↓ -21% |
| AMERIGROUP | MEDICARE ADVANTAGE | $437.18 | ↓ -10% |
| VACCN | ALL PRODUCTS | $437.18 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $437.18 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $437.18 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $437.18 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $437.18 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $459.04 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $484.32 | ↑ +0% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $671.51 | ↑ +39% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $746.27 | ↑ +54% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $934.50 | ↑ +93% |
| INTERGROUP | SHARED SAVINGS | $934.50 | ↑ +93% |
| INTERGROUP | WORKERS COMP | $934.50 | ↑ +93% |
| HORIZON | WORKERS COMP | $975.89 | ↑ +101% |
| HORIZON | PIP | $975.89 | ↑ +101% |
| HORIZON | OMNIA | $982.29 | ↑ +103% |
| BERGEN RISK | ALL PRODUCTS | $1,001.25 | ↑ +107% |
| PRIME HEALTH | WORKERS COMP | $1,068.00 | ↑ +121% |
| PRIME HEALTH | AUTO INSURANCE | $1,068.00 | ↑ +121% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,134.75 | ↑ +134% |
| HORIZON | SHP | $1,171.06 | ↑ +142% |
| AETNA | ASA | $1,197.09 | ↑ +147% |
| AETNA | PPO | $1,197.09 | ↑ +147% |
| AETNA | HMO | $1,197.09 | ↑ +147% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,201.50 | ↑ +148% |
| CIGNA | PPO | $1,208.04 | ↑ +149% |
| CIGNA | HMO | $1,208.04 | ↑ +149% |
| HORIZON | HMO | $1,212.05 | ↑ +150% |
| HORIZON | INDEMNITY | $1,228.07 | ↑ +154% |
| QUALCARE | PPO | $1,236.21 | ↑ +155% |
| QUALCARE | WORKERS COMP | $1,236.21 | ↑ +155% |
| QUALCARE | HMO | $1,236.21 | ↑ +155% |
| HORIZON | PPO | $1,240.62 | ↑ +156% |
| AMERIHEALTH | LOCAL HMO | $1,262.91 | ↑ +161% |
| AMERIHEALTH | REGIONAL HMO | $1,262.91 | ↑ +161% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bld exchange truj oth thn nb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $61.93 – $955.58 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $63.76 – $980.96 |
| Community Medical Center | Toms River | $3,786.00 | $63.76 – $950.80 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $63.76 – $976.06 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $63.76 – $980.96 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $63.76 – $1,024.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $63.76 – $962.96 |
| Bayshore Medical Center | Holmdel | $483.90 | $357.00 – $580.68 |