Bronchoscopy/lung bx each 31628 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$4,084.48
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.
$6,461.00
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.
$325.16 with HORIZON vs $10,163.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $325.16 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $361.68 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $1,040.22 | ↓ -75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,110.65 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $1,162.98 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,389.12 | ↓ -66% |
| AETNA | ASA | $3,662.00 | ↓ -10% |
| AETNA | HMO | $3,662.00 | ↓ -10% |
| AETNA | PPO | $3,662.00 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,686.95 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,686.95 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,686.95 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,686.95 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,686.95 | ↓ -10% |
| VACCN | ALL PRODUCTS | $3,686.95 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,871.30 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,084.48 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,522.70 | ↑ +11% |
| INTERGROUP | SHARED SAVINGS | $4,522.70 | ↑ +11% |
| INTERGROUP | WORKERS COMP | $4,522.70 | ↑ +11% |
| HORIZON | OMNIA | $4,754.00 | ↑ +16% |
| BERGEN RISK | ALL PRODUCTS | $4,845.75 | ↑ +19% |
| PRIME HEALTH | WORKERS COMP | $5,168.80 | ↑ +27% |
| PRIME HEALTH | AUTO INSURANCE | $5,168.80 | ↑ +27% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,491.85 | ↑ +34% |
| HORIZON | SHP | $5,667.59 | ↑ +39% |
| CIGNA | PPO | $5,846.56 | ↑ +43% |
| CIGNA | HMO | $5,846.56 | ↑ +43% |
| HORIZON | HMO | $5,865.94 | ↑ +44% |
| HORIZON | INDEMNITY | $5,943.47 | ↑ +46% |
| QUALCARE | PPO | $5,982.89 | ↑ +46% |
| QUALCARE | HMO | $5,982.89 | ↑ +46% |
| QUALCARE | WORKERS COMP | $5,982.89 | ↑ +46% |
| HORIZON | PPO | $6,004.21 | ↑ +47% |
| AMERIHEALTH | LOCAL HMO | $6,112.11 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $6,112.11 | ↑ +50% |
| OXFORD | ALL PRODUCTS | $6,730.00 | ↑ +65% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +100% |
| UNITED HEALTHCARE | HMO | $8,385.00 | ↑ +105% |
| HORIZON | PIP | $8,615.00 | ↑ +111% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +149% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy/lung bx each 31628 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $191.15 – $8,058.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.88 – $8,272.92 |
| Community Medical Center | Toms River | $3,786.00 | $276.39 – $8,018.49 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $266.63 – $8,231.56 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $196.77 – $8,272.92 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $247.37 – $8,640.52 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $533.26 – $8,121.07 |
| Bayshore Medical Center | Holmdel | $4,080.94 | $4,080.94 – $4,897.13 |