Brace knee extender plus 22-30in at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
not published by hospital
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.
$1,155.00
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.
$29.44 with AETNA vs $1,186.13 with KARNA — 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 | $29.44 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $31.43 | — |
| CLOVER | MEDICARE ADVANTAGE | $32.91 | — |
| AETNA | MEDICARE ADVANTAGE | $37.67 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $47.91 | — |
| AMERIHEALTH | REGIONAL HMO | $58.18 | — |
| AMERIHEALTH | LOCAL HMO | $58.18 | — |
| CIGNA | PPO | $65.83 | — |
| CIGNA | HMO | $65.83 | — |
| WELLCARE | MEDICARE ADVANTAGE | $82.28 | — |
| HORIZON | PPO | $91.43 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $91.43 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $91.43 | — |
| HORIZON | SHP | $91.43 | — |
| HORIZON | HMO | $91.43 | — |
| HORIZON | INDEMNITY | $91.43 | — |
| HORIZON | OMNIA | $91.43 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $91.97 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $96.91 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $102.21 | — |
| BERGEN RISK | ALL PRODUCTS | $109.71 | — |
| INTERGROUP | SHARED SAVINGS | $128.00 | — |
| BRIGHTON HEALTH PLAN | PNO | $128.00 | — |
| INTERGROUP | WORKERS COMP | $128.00 | — |
| PRIME HEALTH | AUTO INSURANCE | $146.28 | — |
| PRIME HEALTH | WORKERS COMP | $146.28 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $155.42 | — |
| QUALCARE | WORKERS COMP | $169.32 | — |
| QUALCARE | PPO | $169.32 | — |
| QUALCARE | HMO | $169.32 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $182.85 | — |
| HORIZON | WORKERS COMP | $182.85 | — |
| HORIZON | MANAGED MEDICAID | $306.71 | — |
| WELLCARE | MANAGED MEDICAID | $722.59 | — |
| AETNA | ASA | $748.86 | — |
| AETNA | PPO | $748.86 | — |
| AETNA | HMO | $748.86 | — |
| KARNA | MEDICARE ADVANTAGE | $1,186.13 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
| HORIZON | PIP | not published by hospital | — |
Visitor-reported prices
Comments
Brace knee extender plus 22-30in at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $46.45 | $326.40 – $1,817.35 |
| Monmouth Medical Center | Long Branch | $38.67 | $913.24 – $1,817.35 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $40.56 | $505.60 – $1,817.35 |
| Monmouth Medical Center Southern Campus | Lakewood | $42.01 | $913.24 – $1,817.35 |
| Robert Wood Johnson University Hospital | New Brunswick | $52.78 | $483.20 – $1,917.80 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $41.82 | $345.60 – $1,817.35 |
| Bayshore Medical Center | Holmdel | not published | $722.59 – $722.59 |
| Hackensack University Medical Center | Hackensack | not published | $1,186.13 – $1,186.13 |