healthcosts.net
Cholesterol (Lipid) Test at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$13.39
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.
$260.00
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.
$6.29 with HORIZON vs $63.02 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $6.29 | ↓ -53% |
| AETNA | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.39 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $14.06 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.06 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16.50 | ↑ +23% |
| KARNA | MEDICARE ADVANTAGE | $17.81 | ↑ +33% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $23.10 | ↑ +73% |
| INTERGROUP | SHARED SAVINGS | $23.10 | ↑ +73% |
| INTERGROUP | WORKERS COMP | $23.10 | ↑ +73% |
| QUALCARE | HMO | $25.51 | ↑ +91% |
| QUALCARE | PPO | $25.51 | ↑ +91% |
| QUALCARE | WORKERS COMP | $25.51 | ↑ +91% |
| PRIME HEALTH | AUTO INSURANCE | $26.40 | ↑ +97% |
| PRIME HEALTH | WORKERS COMP | $26.40 | ↑ +97% |
| AETNA | ASA | $27.72 | ↑ +107% |
| AETNA | HMO | $27.72 | ↑ +107% |
| AETNA | PPO | $27.72 | ↑ +107% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $28.05 | ↑ +109% |
| CIGNA | HMO | $63.02 | ↑ +371% |
| CIGNA | PPO | $63.02 | ↑ +371% |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $102.00 | $36.98 – $36.98 |
| Bayshore Medical Center | Holmdel | $13.39 | $13.39 – $28.35 |
| Hackensack University Medical Center | Hackensack | $13.39 | $8.28 – $33.00 |
| Ocean University Medical Center | Brick | $13.39 | $4.69 – $61.36 |