Cell marker study at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$59.19
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.
$968.00
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.
$53.43 with AMERIGROUP vs $931.80 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $53.43 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| VACCN | ALL PRODUCTS | $53.43 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $56.10 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.19 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $94.93 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $108.48 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $108.48 | ↑ +83% |
| AETNA | MANAGED MEDICAID | $155.85 | ↑ +163% |
| HORIZON | MANAGED MEDICAID | $184.40 | ↑ +212% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $208.12 | ↑ +252% |
| KARNA | MEDICARE ADVANTAGE | $324.12 | ↑ +448% |
| INTERGROUP | WORKERS COMP | $677.60 | ↑ +1045% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $677.60 | ↑ +1045% |
| INTERGROUP | SHARED SAVINGS | $677.60 | ↑ +1045% |
| HORIZON | PIP | $707.61 | ↑ +1095% |
| HORIZON | WORKERS COMP | $707.61 | ↑ +1095% |
| HORIZON | OMNIA | $712.25 | ↑ +1103% |
| BERGEN RISK | ALL PRODUCTS | $726.00 | ↑ +1127% |
| QUALCARE | WORKERS COMP | $748.26 | ↑ +1164% |
| QUALCARE | PPO | $748.26 | ↑ +1164% |
| QUALCARE | HMO | $748.26 | ↑ +1164% |
| PRIME HEALTH | AUTO INSURANCE | $774.40 | ↑ +1208% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $774.40 | ↑ +1208% |
| PRIME HEALTH | WORKERS COMP | $774.40 | ↑ +1208% |
| AETNA | ASA | $813.12 | ↑ +1274% |
| AETNA | PPO | $813.12 | ↑ +1274% |
| AETNA | HMO | $813.12 | ↑ +1274% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $822.80 | ↑ +1290% |
| HORIZON | SHP | $849.13 | ↑ +1335% |
| HORIZON | HMO | $878.85 | ↑ +1385% |
| HORIZON | INDEMNITY | $890.46 | ↑ +1404% |
| HORIZON | PPO | $899.56 | ↑ +1420% |
| AMERIHEALTH | REGIONAL HMO | $915.73 | ↑ +1447% |
| AMERIHEALTH | LOCAL HMO | $915.73 | ↑ +1447% |
| CIGNA | PPO | $931.80 | ↑ +1474% |
| CIGNA | HMO | $931.80 | ↑ +1474% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $113.37 | $23.57 – $523.98 |
| Cooperman Barnabas Medical Center | Livingston | $102.34 | $23.57 – $519.94 |
| Community Medical Center | Toms River | $125.26 | $23.57 – $519.94 |
| Clara Maass Medical Center | Belleville | $103.22 | $23.57 – $519.94 |
| Newark Beth Israel Medical Center | Newark | $100.60 | $23.57 – $519.94 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Hackensack University Medical Center | Hackensack | $62.92 | $50.34 – $324.12 |
| Ocean University Medical Center | Brick | $58.39 | $53.43 – $307.83 |