Clearance of airways at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$225.32
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.
$506.00
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.
$47.52 with HORIZON vs $10,163.00 with BRIGHTON HEALTH PLAN — 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 | $47.52 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $81.47 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $86.98 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $91.08 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $99.96 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $108.79 | ↓ -52% |
| VACCN | ALL PRODUCTS | $203.39 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $203.39 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $213.56 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $225.32 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $354.20 | ↑ +57% |
| INTERGROUP | SHARED SAVINGS | $354.20 | ↑ +57% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $354.20 | ↑ +57% |
| HORIZON | OMNIA | $372.31 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $379.50 | ↑ +68% |
| PRIME HEALTH | WORKERS COMP | $404.80 | ↑ +80% |
| PRIME HEALTH | AUTO INSURANCE | $404.80 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $430.10 | ↑ +91% |
| HORIZON | SHP | $443.86 | ↑ +97% |
| CIGNA | HMO | $457.88 | ↑ +103% |
| CIGNA | PPO | $457.88 | ↑ +103% |
| HORIZON | HMO | $459.40 | ↑ +104% |
| HORIZON | INDEMNITY | $465.47 | ↑ +107% |
| QUALCARE | WORKERS COMP | $468.56 | ↑ +108% |
| QUALCARE | HMO | $468.56 | ↑ +108% |
| QUALCARE | PPO | $468.56 | ↑ +108% |
| HORIZON | PPO | $470.23 | ↑ +109% |
| AMERIHEALTH | LOCAL HMO | $478.68 | ↑ +112% |
| AMERIHEALTH | REGIONAL HMO | $478.68 | ↑ +112% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +1213% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1527% |
| AETNA | ASA | $4,025.00 | ↑ +1686% |
| AETNA | PPO | $4,025.00 | ↑ +1686% |
| AETNA | HMO | $4,025.00 | ↑ +1686% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +3527% |
| HORIZON | PIP | $8,615.00 | ↑ +3723% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +4410% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of airways at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $225.12 | $225.12 – $270.15 |
| Hackensack University Medical Center | Hackensack | $239.52 | $99.96 – $251.50 |
| Ocean University Medical Center | Brick | $222.28 | $97.42 – $266.74 |
| Jersey Shore University Medical Center | Neptune City | $225.12 | $97.42 – $270.15 |
| Palisades Medical Center | North Bergen | $239.52 | $99.96 – $261.08 |
| Raritan Bay Medical Center | Perth Amboy | $225.32 | $99.96 – $270.38 |
| Riverview Medical Center | Red Bank | $225.12 | $97.42 – $270.15 |
| Southern Ocean Medical Center | Manahawkin | $222.28 | $97.42 – $266.74 |