Bx vag mucos smpl (sep proc) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$964.62
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.
$3,121.00
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.
$44.80 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 | $44.80 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $137.96 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $502.48 | ↓ -48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $536.50 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $561.78 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $671.02 | ↓ -30% |
| VACCN | ALL PRODUCTS | $870.74 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $870.74 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $870.74 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $870.74 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $870.74 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $870.74 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $914.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $964.62 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $2,184.70 | ↑ +126% |
| INTERGROUP | SHARED SAVINGS | $2,184.70 | ↑ +126% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,184.70 | ↑ +126% |
| HORIZON | OMNIA | $2,296.43 | ↑ +138% |
| BERGEN RISK | ALL PRODUCTS | $2,340.75 | ↑ +143% |
| PRIME HEALTH | WORKERS COMP | $2,496.80 | ↑ +159% |
| PRIME HEALTH | AUTO INSURANCE | $2,496.80 | ↑ +159% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,652.85 | ↑ +175% |
| HORIZON | SHP | $2,737.74 | ↑ +184% |
| CIGNA | HMO | $2,824.19 | ↑ +193% |
| CIGNA | PPO | $2,824.19 | ↑ +193% |
| HORIZON | HMO | $2,833.56 | ↑ +194% |
| HORIZON | INDEMNITY | $2,871.01 | ↑ +198% |
| QUALCARE | PPO | $2,890.05 | ↑ +200% |
| QUALCARE | WORKERS COMP | $2,890.05 | ↑ +200% |
| QUALCARE | HMO | $2,890.05 | ↑ +200% |
| HORIZON | PPO | $2,900.35 | ↑ +201% |
| AMERIHEALTH | LOCAL HMO | $2,952.47 | ↑ +206% |
| AMERIHEALTH | REGIONAL HMO | $2,952.47 | ↑ +206% |
| AETNA | ASA | $4,025.00 | ↑ +317% |
| AETNA | PPO | $4,025.00 | ↑ +317% |
| AETNA | HMO | $4,025.00 | ↑ +317% |
| OXFORD | ALL PRODUCTS | $4,408.00 | ↑ +357% |
| UNITED HEALTHCARE | HMO | $5,482.00 | ↑ +468% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +747% |
| HORIZON | PIP | $8,615.00 | ↑ +793% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +954% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $53.59 – $1,903.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $37.18 – $1,953.80 |
| Community Medical Center | Toms River | $3,786.00 | $38.08 – $1,893.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $36.74 – $1,944.03 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $55.17 – $1,953.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $40.32 – $2,040.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $73.47 – $1,917.94 |
| Bayshore Medical Center | Holmdel | $963.79 | $963.79 – $1,156.54 |