C1 esterase inhibitor func - sendout at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$12.00
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.
$392.00
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.
$9.90 with UNITED HEALTHCARE vs $78.52 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.90 | ↓ -18% |
| HORIZON | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.00 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.00 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.60 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $13.36 | ↑ +11% |
| HORIZON | MANAGED MEDICAID | $15.81 | ↑ +32% |
| KARNA | MEDICARE ADVANTAGE | $15.96 | ↑ +33% |
| UNITED HEALTHCARE | HMO | $26.16 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $26.16 | ↑ +118% |
| CIGNA | HMO | $56.47 | ↑ +371% |
| CIGNA | PPO | $56.47 | ↑ +371% |
| INTERGROUP | SHARED SAVINGS | $58.10 | ↑ +384% |
| INTERGROUP | WORKERS COMP | $58.10 | ↑ +384% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $58.10 | ↑ +384% |
| HORIZON | PIP | $60.67 | ↑ +406% |
| HORIZON | WORKERS COMP | $60.67 | ↑ +406% |
| HORIZON | OMNIA | $61.07 | ↑ +409% |
| BERGEN RISK | ALL PRODUCTS | $62.25 | ↑ +419% |
| QUALCARE | HMO | $64.16 | ↑ +435% |
| QUALCARE | WORKERS COMP | $64.16 | ↑ +435% |
| QUALCARE | PPO | $64.16 | ↑ +435% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $66.40 | ↑ +453% |
| PRIME HEALTH | AUTO INSURANCE | $66.40 | ↑ +453% |
| PRIME HEALTH | WORKERS COMP | $66.40 | ↑ +453% |
| AETNA | ASA | $69.72 | ↑ +481% |
| AETNA | PPO | $69.72 | ↑ +481% |
| AETNA | HMO | $69.72 | ↑ +481% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $70.55 | ↑ +488% |
| HORIZON | SHP | $72.81 | ↑ +507% |
| HORIZON | HMO | $75.36 | ↑ +528% |
| HORIZON | INDEMNITY | $76.35 | ↑ +536% |
| HORIZON | PPO | $77.13 | ↑ +543% |
| AMERIHEALTH | LOCAL HMO | $78.52 | ↑ +554% |
| AMERIHEALTH | REGIONAL HMO | $78.52 | ↑ +554% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $13.20 | $5.64 – $51.74 |
| Cooperman Barnabas Medical Center | Livingston | $13.20 | $5.64 – $49.40 |
| Community Medical Center | Toms River | $13.20 | $5.64 – $49.40 |
| Clara Maass Medical Center | Belleville | $13.20 | $5.64 – $49.40 |
| Newark Beth Israel Medical Center | Newark | $13.20 | $5.64 – $49.40 |
| Jersey City Medical Center | Jersey City | $13.20 | $5.64 – $49.40 |
| Monmouth Medical Center | Long Branch | $13.20 | $5.64 – $49.40 |
| Bayshore Medical Center | Holmdel | $12.00 | $12.00 – $54.99 |