Breast reconstruction 19357 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$19,274.24
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.
$22,941.00
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.
$1,219.12 with HORIZON vs $25,800.00 with UNITED HEALTHCARE — 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 | $1,219.12 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $2,509.71 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $3,693.50 | ↓ -81% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,943.56 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $4,129.38 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $4,725.85 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,932.32 | ↓ -74% |
| AMERIGROUP | MEDICARE ADVANTAGE | $6,010.54 | ↓ -69% |
| HORIZON | OMNIA | $7,564.00 | ↓ -61% |
| HORIZON | WORKERS COMP | $8,173.00 | ↓ -58% |
| HORIZON | PIP | $8,615.00 | ↓ -55% |
| HORIZON | SHP | $8,665.00 | ↓ -55% |
| QUALCARE | WORKERS COMP | $9,170.00 | ↓ -52% |
| CIGNA | HMO | $9,178.00 | ↓ -52% |
| QUALCARE | HMO | $9,342.00 | ↓ -52% |
| QUALCARE | PPO | $9,342.00 | ↓ -52% |
| HORIZON | HMO | $9,360.00 | ↓ -51% |
| HORIZON | INDEMNITY | $9,469.00 | ↓ -51% |
| HORIZON | PPO | $9,581.00 | ↓ -50% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↓ -47% |
| AETNA | ASA | $10,692.00 | ↓ -45% |
| AETNA | PPO | $10,692.00 | ↓ -45% |
| AETNA | HMO | $10,692.00 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $10,711.00 | ↓ -44% |
| CIGNA | PPO | $10,771.00 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $11,904.00 | ↓ -38% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -19% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16,058.70 | ↓ -17% |
| INTERGROUP | SHARED SAVINGS | $16,058.70 | ↓ -17% |
| INTERGROUP | WORKERS COMP | $16,058.70 | ↓ -17% |
| WELLCARE | MEDICARE ADVANTAGE | $17,398.35 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $17,398.35 | ↓ -10% |
| VACCN | ALL PRODUCTS | $17,398.35 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $17,398.35 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18,268.27 | ↓ -5% |
| PRIME HEALTH | AUTO INSURANCE | $18,352.80 | ↓ -5% |
| PRIME HEALTH | WORKERS COMP | $18,352.80 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,274.24 | ↑ +0% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,499.85 | ↑ +1% |
| OXFORD | ALL PRODUCTS | $20,656.00 | ↑ +7% |
| BRIGHTON HEALTH PLAN | PNO | $25,103.18 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $25,800.00 | ↑ +34% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $595.83 – $38,028.62 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,011.87 – $39,039.12 |
| Community Medical Center | Toms River | $3,786.00 | $1,036.25 – $37,838.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $999.68 – $38,843.92 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $613.36 – $39,039.12 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $771.08 – $40,773.79 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,999.36 – $38,322.50 |
| Bayshore Medical Center | Holmdel | $19,257.54 | $19,257.54 – $23,109.05 |