Clean out mastoid cavity at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$564.16
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.
$3,190.00
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.
$70.00 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $70.00 | ↓ -88% |
| KARNA | MEDICARE ADVANTAGE | $300.88 | ↓ -47% |
| WELLCARE | MANAGED MEDICAID | $509.25 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| VACCN | ALL PRODUCTS | $509.25 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $509.25 | ↓ -10% |
| AETNA | MANAGED MEDICAID | $513.59 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $534.71 | ↓ -5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $548.36 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $564.16 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $574.20 | ↑ +2% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $685.85 | ↑ +22% |
| INTERGROUP | SHARED SAVINGS | $2,233.00 | ↑ +296% |
| INTERGROUP | WORKERS COMP | $2,233.00 | ↑ +296% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,233.00 | ↑ +296% |
| HORIZON | OMNIA | $2,347.20 | ↑ +316% |
| BERGEN RISK | ALL PRODUCTS | $2,392.50 | ↑ +324% |
| PRIME HEALTH | WORKERS COMP | $2,552.00 | ↑ +352% |
| PRIME HEALTH | AUTO INSURANCE | $2,552.00 | ↑ +352% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,711.50 | ↑ +381% |
| HORIZON | SHP | $2,798.27 | ↑ +396% |
| CIGNA | HMO | $2,886.63 | ↑ +412% |
| CIGNA | PPO | $2,886.63 | ↑ +412% |
| HORIZON | HMO | $2,896.20 | ↑ +413% |
| HORIZON | INDEMNITY | $2,934.48 | ↑ +420% |
| QUALCARE | HMO | $2,953.94 | ↑ +424% |
| QUALCARE | WORKERS COMP | $2,953.94 | ↑ +424% |
| QUALCARE | PPO | $2,953.94 | ↑ +424% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +424% |
| HORIZON | PPO | $2,964.47 | ↑ +425% |
| AMERIHEALTH | LOCAL HMO | $3,017.74 | ↑ +435% |
| AMERIHEALTH | REGIONAL HMO | $3,017.74 | ↑ +435% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +550% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1349% |
| HORIZON | PIP | $8,615.00 | ↑ +1427% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1701% |
| AETNA | PPO | $10,692.00 | ↑ +1795% |
| AETNA | HMO | $10,692.00 | ↑ +1795% |
| AETNA | ASA | $10,692.00 | ↑ +1795% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clean out mastoid cavity at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $112.99 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $58.10 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $59.50 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $57.40 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $105.35 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $63.00 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $114.80 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |