Bx breast add lesion strtctc 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.
?
What you pay up front if you don't use insurance.
$4,818.00
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.
$168.35 with KARNA vs $9,236.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $168.35 | — |
| AETNA | MANAGED MEDICAID | $775.70 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $828.21 | — |
| CLOVER | MEDICARE ADVANTAGE | $867.24 | — |
| AETNA | MEDICARE ADVANTAGE | $992.51 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,035.87 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,262.32 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $2,423.45 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $2,693.26 | — |
| INTERGROUP | WORKERS COMP | $3,372.60 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,372.60 | — |
| INTERGROUP | SHARED SAVINGS | $3,372.60 | — |
| HORIZON | WORKERS COMP | $3,521.96 | — |
| HORIZON | PIP | $3,521.96 | — |
| BERGEN RISK | ALL PRODUCTS | $3,613.50 | — |
| PRIME HEALTH | WORKERS COMP | $3,854.40 | — |
| PRIME HEALTH | AUTO INSURANCE | $3,854.40 | — |
| OXFORD | ALL PRODUCTS | $3,988.34 | — |
| UNITED HEALTHCARE | HMO | $4,006.17 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,095.30 | — |
| AETNA | PPO | $4,320.30 | — |
| AETNA | HMO | $4,320.30 | — |
| AETNA | ASA | $4,320.30 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,336.20 | — |
| CIGNA | PPO | $4,359.81 | — |
| CIGNA | HMO | $4,359.81 | — |
| QUALCARE | HMO | $4,461.47 | — |
| QUALCARE | PPO | $4,461.47 | — |
| QUALCARE | WORKERS COMP | $4,461.47 | — |
| AMERIHEALTH | REGIONAL HMO | $4,557.83 | — |
| AMERIHEALTH | LOCAL HMO | $4,557.83 | — |
| HORIZON | OMNIA | $7,292.00 | — |
| HORIZON | SHP | $8,353.00 | — |
| HORIZON | HMO | $9,023.00 | — |
| HORIZON | INDEMNITY | $9,128.00 | — |
| HORIZON | PPO | $9,236.00 | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $198.43 – $1,673.82 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $204.27 – $204.27 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $256.79 – $256.79 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $350.59 – $350.59 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $210.10 – $210.10 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $168.35 – $168.35 |
| Ocean University Medical Center | Brick | not published | $163.95 – $163.95 |