Breast Biopsy (ultrasound-guided, percutaneous) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,794.93
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.
$6,490.00
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.
$317.78 with KARNA vs $9,236.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $317.78 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $1,044.89 | ↓ -42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,115.63 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $1,168.20 | ↓ -35% |
| AETNA | MEDICARE ADVANTAGE | $1,336.94 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,395.35 | ↓ -22% |
| VACCN | ALL PRODUCTS | $1,620.24 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,620.24 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,620.24 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,620.24 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,620.24 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,701.25 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,794.93 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $2,847.29 | ↑ +59% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $3,264.47 | ↑ +82% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $3,627.91 | ↑ +102% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,543.00 | ↑ +153% |
| INTERGROUP | SHARED SAVINGS | $4,543.00 | ↑ +153% |
| INTERGROUP | WORKERS COMP | $4,543.00 | ↑ +153% |
| HORIZON | WORKERS COMP | $4,744.19 | ↑ +164% |
| HORIZON | PIP | $4,744.19 | ↑ +164% |
| BERGEN RISK | ALL PRODUCTS | $4,867.50 | ↑ +171% |
| PRIME HEALTH | WORKERS COMP | $5,192.00 | ↑ +189% |
| PRIME HEALTH | AUTO INSURANCE | $5,192.00 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $5,372.42 | ↑ +199% |
| UNITED HEALTHCARE | HMO | $5,396.44 | ↑ +201% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,516.50 | ↑ +207% |
| AETNA | ASA | $5,819.58 | ↑ +224% |
| AETNA | HMO | $5,819.58 | ↑ +224% |
| AETNA | PPO | $5,819.58 | ↑ +224% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,841.00 | ↑ +225% |
| CIGNA | PPO | $5,872.80 | ↑ +227% |
| CIGNA | HMO | $5,872.80 | ↑ +227% |
| QUALCARE | PPO | $6,009.74 | ↑ +235% |
| QUALCARE | HMO | $6,009.74 | ↑ +235% |
| QUALCARE | WORKERS COMP | $6,009.74 | ↑ +235% |
| AMERIHEALTH | REGIONAL HMO | $6,139.54 | ↑ +242% |
| AMERIHEALTH | LOCAL HMO | $6,139.54 | ↑ +242% |
| HORIZON | OMNIA | $7,292.00 | ↑ +306% |
| HORIZON | SHP | $8,353.00 | ↑ +365% |
| HORIZON | HMO | $9,023.00 | ↑ +403% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +409% |
| HORIZON | PPO | $9,236.00 | ↑ +415% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $256.35 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,817.78 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $1,770.73 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,817.78 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $263.89 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $331.74 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,793.38 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |