Bld prd mix at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$189.84
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.
$188.00
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.
$27.50 with UNITED HEALTHCARE vs $325.17 with OXFORD — 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 | $27.50 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $30.27 | ↓ -84% |
| HORIZON | MANAGED MEDICAID | $35.81 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $40.42 | ↓ -79% |
| INTERGROUP | WORKERS COMP | $131.60 | ↓ -31% |
| INTERGROUP | SHARED SAVINGS | $131.60 | ↓ -31% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $131.60 | ↓ -31% |
| HORIZON | WORKERS COMP | $137.43 | ↓ -28% |
| HORIZON | PIP | $137.43 | ↓ -28% |
| HORIZON | OMNIA | $138.33 | ↓ -27% |
| BERGEN RISK | ALL PRODUCTS | $141.00 | ↓ -26% |
| QUALCARE | PPO | $145.32 | ↓ -23% |
| QUALCARE | WORKERS COMP | $145.32 | ↓ -23% |
| QUALCARE | HMO | $145.32 | ↓ -23% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $150.40 | ↓ -21% |
| PRIME HEALTH | WORKERS COMP | $150.40 | ↓ -21% |
| PRIME HEALTH | AUTO INSURANCE | $150.40 | ↓ -21% |
| AETNA | HMO | $157.92 | ↓ -17% |
| AETNA | PPO | $157.92 | ↓ -17% |
| AETNA | ASA | $157.92 | ↓ -17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $159.80 | ↓ -16% |
| HORIZON | SHP | $164.91 | ↓ -13% |
| HORIZON | HMO | $170.69 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| VACCN | ALL PRODUCTS | $171.36 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $171.36 | ↓ -10% |
| HORIZON | INDEMNITY | $172.94 | ↓ -9% |
| HORIZON | PPO | $174.71 | ↓ -8% |
| AMERIHEALTH | LOCAL HMO | $177.85 | ↓ -6% |
| AMERIHEALTH | REGIONAL HMO | $177.85 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.93 | ↓ -5% |
| CIGNA | PPO | $180.97 | ↓ -5% |
| CIGNA | HMO | $180.97 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $271.93 | ↑ +43% |
| UNITED HEALTHCARE | HMO | $325.17 | ↑ +71% |
| OXFORD | ALL PRODUCTS | $325.17 | ↑ +71% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $41.85 | $25.50 – $374.56 |
| Cooperman Barnabas Medical Center | Livingston | $47.25 | $26.25 – $384.50 |
| Clara Maass Medical Center | Belleville | $70.80 | $26.25 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $46.45 | $26.25 – $384.50 |
| Jersey City Medical Center | Jersey City | $46.33 | $26.25 – $401.58 |
| Monmouth Medical Center | Long Branch | $48.79 | $26.25 – $377.44 |
| Bayshore Medical Center | Holmdel | $189.67 | $26.19 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $44.60 – $271.93 |