Bx vulva or perineum/1 lesion 56605 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.
?
What you pay up front if you don't use insurance.
$2,445.00
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.
$47.14 with HORIZON vs $10,163.00 with BRIGHTON HEALTH PLAN — 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 | $47.14 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $124.48 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $393.65 | ↓ -59% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $420.30 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $440.10 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $525.68 | ↓ -46% |
| 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 | $1,711.50 | ↑ +77% |
| INTERGROUP | SHARED SAVINGS | $1,711.50 | ↑ +77% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,711.50 | ↑ +77% |
| HORIZON | OMNIA | $1,799.03 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $1,833.75 | ↑ +90% |
| PRIME HEALTH | WORKERS COMP | $1,956.00 | ↑ +103% |
| PRIME HEALTH | AUTO INSURANCE | $1,956.00 | ↑ +103% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,078.25 | ↑ +115% |
| HORIZON | SHP | $2,144.75 | ↑ +122% |
| CIGNA | HMO | $2,212.48 | ↑ +129% |
| CIGNA | PPO | $2,212.48 | ↑ +129% |
| HORIZON | HMO | $2,219.82 | ↑ +130% |
| HORIZON | INDEMNITY | $2,249.16 | ↑ +133% |
| QUALCARE | PPO | $2,264.07 | ↑ +135% |
| QUALCARE | WORKERS COMP | $2,264.07 | ↑ +135% |
| QUALCARE | HMO | $2,264.07 | ↑ +135% |
| HORIZON | PPO | $2,272.14 | ↑ +136% |
| AMERIHEALTH | LOCAL HMO | $2,312.97 | ↑ +140% |
| AMERIHEALTH | REGIONAL HMO | $2,312.97 | ↑ +140% |
| 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 vulva or perineum/1 lesion 56605 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $49.84 – $1,903.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $39.13 – $1,953.80 |
| Community Medical Center | Toms River | $3,786.00 | $40.07 – $1,893.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $38.65 – $1,944.03 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $51.30 – $1,953.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $42.43 – $2,040.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $77.31 – $1,917.94 |
| Bayshore Medical Center | Holmdel | $963.79 | $963.79 – $1,156.54 |