Ca screen;flexi sigmoidscope at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,010.01
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.
$2,011.00
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.
$101.97 with KARNA vs $10,692.00 with AETNA — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $101.97 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $323.77 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $345.69 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $361.98 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $432.37 | ↓ -57% |
| VACCN | ALL PRODUCTS | $911.71 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $911.71 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $911.71 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $911.71 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $911.71 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $911.71 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $957.30 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,010.01 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $1,407.70 | ↑ +39% |
| INTERGROUP | SHARED SAVINGS | $1,407.70 | ↑ +39% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,407.70 | ↑ +39% |
| HORIZON | OMNIA | $1,479.69 | ↑ +47% |
| BERGEN RISK | ALL PRODUCTS | $1,508.25 | ↑ +49% |
| PRIME HEALTH | WORKERS COMP | $1,608.80 | ↑ +59% |
| PRIME HEALTH | AUTO INSURANCE | $1,608.80 | ↑ +59% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,709.35 | ↑ +69% |
| HORIZON | SHP | $1,764.05 | ↑ +75% |
| CIGNA | PPO | $1,819.75 | ↑ +80% |
| CIGNA | HMO | $1,819.75 | ↑ +80% |
| HORIZON | HMO | $1,825.79 | ↑ +81% |
| HORIZON | INDEMNITY | $1,849.92 | ↑ +83% |
| QUALCARE | HMO | $1,862.19 | ↑ +84% |
| QUALCARE | WORKERS COMP | $1,862.19 | ↑ +84% |
| QUALCARE | PPO | $1,862.19 | ↑ +84% |
| HORIZON | PPO | $1,868.82 | ↑ +85% |
| AMERIHEALTH | LOCAL HMO | $1,902.41 | ↑ +88% |
| AMERIHEALTH | REGIONAL HMO | $1,902.41 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $4,408.00 | ↑ +336% |
| UNITED HEALTHCARE | HMO | $5,482.00 | ↑ +443% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +709% |
| HORIZON | PIP | $8,615.00 | ↑ +753% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +906% |
| AETNA | ASA | $10,692.00 | ↑ +959% |
| AETNA | PPO | $10,692.00 | ↑ +959% |
| AETNA | HMO | $10,692.00 | ↑ +959% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ca screen;flexi sigmoidscope at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |
| Hackensack University Medical Center | Hackensack | $1,073.68 | $101.97 – $1,127.37 |
| Ocean University Medical Center | Brick | $996.39 | $98.59 – $1,195.67 |
| Jersey Shore University Medical Center | Neptune City | $1,009.14 | $98.59 – $1,210.96 |
| Palisades Medical Center | North Bergen | $1,073.68 | $101.97 – $1,170.32 |
| Raritan Bay Medical Center | Perth Amboy | $1,010.01 | $101.97 – $1,212.01 |
| Riverview Medical Center | Red Bank | $1,009.14 | $98.59 – $1,210.96 |
| Southern Ocean Medical Center | Manahawkin | $996.39 | $98.59 – $1,195.67 |