Clearance of tear duct at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$331.16
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.
$4,198.00
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.
$145.20 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 | $145.20 | ↓ -56% |
| WELLCARE | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $298.93 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| VACCN | ALL PRODUCTS | $298.93 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $313.88 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $331.16 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $540.59 | ↑ +63% |
| AETNA | MANAGED MEDICAID | $675.88 | ↑ +104% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $721.64 | ↑ +118% |
| CLOVER | MEDICARE ADVANTAGE | $755.64 | ↑ +128% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $902.57 | ↑ +173% |
| INTERGROUP | WORKERS COMP | $2,938.60 | ↑ +787% |
| INTERGROUP | SHARED SAVINGS | $2,938.60 | ↑ +787% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,938.60 | ↑ +787% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +793% |
| HORIZON | OMNIA | $3,088.89 | ↑ +833% |
| BERGEN RISK | ALL PRODUCTS | $3,148.50 | ↑ +851% |
| PRIME HEALTH | WORKERS COMP | $3,358.40 | ↑ +914% |
| PRIME HEALTH | AUTO INSURANCE | $3,358.40 | ↑ +914% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,568.30 | ↑ +978% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1007% |
| HORIZON | SHP | $3,682.49 | ↑ +1012% |
| CIGNA | PPO | $3,798.77 | ↑ +1047% |
| CIGNA | HMO | $3,798.77 | ↑ +1047% |
| HORIZON | HMO | $3,811.36 | ↑ +1051% |
| HORIZON | INDEMNITY | $3,861.74 | ↑ +1066% |
| QUALCARE | HMO | $3,887.35 | ↑ +1074% |
| QUALCARE | WORKERS COMP | $3,887.35 | ↑ +1074% |
| QUALCARE | PPO | $3,887.35 | ↑ +1074% |
| HORIZON | PPO | $3,901.20 | ↑ +1078% |
| AMERIHEALTH | REGIONAL HMO | $3,971.31 | ↑ +1099% |
| AMERIHEALTH | LOCAL HMO | $3,971.31 | ↑ +1099% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2368% |
| HORIZON | PIP | $8,615.00 | ↑ +2501% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2969% |
| AETNA | PPO | $10,692.00 | ↑ +3129% |
| AETNA | HMO | $10,692.00 | ↑ +3129% |
| AETNA | ASA | $10,692.00 | ↑ +3129% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of tear duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $223.47 – $912.99 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $120.52 – $670.76 |
| Community Medical Center | Toms River | $3,786.00 | $123.42 – $650.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $119.06 – $667.41 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $218.53 – $670.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $130.68 – $700.56 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $238.13 – $658.43 |
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |