Cath left heart transseptal punc 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.
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What you pay up front if you don't use insurance.
$8,250.00
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.
$341.15 with KARNA vs $19,949.00 with CIGNA — 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 | $341.15 | — |
| AETNA | MANAGED MEDICAID | $1,328.25 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,418.18 | — |
| CLOVER | MEDICARE ADVANTAGE | $1,485.00 | — |
| AETNA | MEDICARE ADVANTAGE | $1,699.50 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,773.75 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,161.50 | — |
| HORIZON | MANAGED MEDICAID | $2,429.00 | — |
| OXFORD | ALL PRODUCTS | $2,958.00 | — |
| UNITED HEALTHCARE | HMO | $3,667.00 | — |
| INTERGROUP | SHARED SAVINGS | $5,775.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,775.00 | — |
| INTERGROUP | WORKERS COMP | $5,775.00 | — |
| HORIZON | OMNIA | $6,070.35 | — |
| BERGEN RISK | ALL PRODUCTS | $6,187.50 | — |
| PRIME HEALTH | AUTO INSURANCE | $6,600.00 | — |
| PRIME HEALTH | WORKERS COMP | $6,600.00 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,012.50 | — |
| HORIZON | SHP | $7,236.90 | — |
| HORIZON | HMO | $7,490.18 | — |
| HORIZON | INDEMNITY | $7,589.18 | — |
| QUALCARE | HMO | $7,639.50 | — |
| QUALCARE | WORKERS COMP | $7,639.50 | — |
| QUALCARE | PPO | $7,664.25 | — |
| HORIZON | PPO | $7,666.73 | — |
| HORIZON | WORKERS COMP | $8,173.00 | — |
| HORIZON | PIP | $8,615.00 | — |
| AETNA | PPO | $9,605.00 | — |
| AETNA | HMO | $9,605.00 | — |
| AETNA | ASA | $9,605.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | — |
| CIGNA | HMO | $14,806.00 | — |
| AMERIHEALTH | LOCAL HMO | $15,002.00 | — |
| AMERIHEALTH | REGIONAL HMO | $16,667.00 | — |
| CIGNA | PPO | $19,949.00 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,175.18 | $102.05 – $6,086.60 |
| Newark Beth Israel Medical Center | Newark | $1,764.92 | $105.05 – $105.05 |
| Jersey City Medical Center | Jersey City | $1,301.03 | $132.07 – $132.07 |
| Robert Wood Johnson University Hospital | New Brunswick | $1,807.29 | $65.73 – $65.73 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $1,034.95 | $108.05 – $108.05 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $341.15 – $341.15 |
| Ocean University Medical Center | Brick | not published | $333.46 – $14,806.00 |