Colonoscopy w/balloon dilat at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,306.21
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.
$3,598.00
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.
$441.74 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $441.74 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $579.28 | ↓ -56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $618.50 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $647.64 | ↓ -50% |
| HORIZON | MANAGED MEDICAID | $764.00 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $773.57 | ↓ -41% |
| VACCN | ALL PRODUCTS | $1,179.08 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,179.08 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,179.08 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,179.08 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,179.08 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,179.08 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,238.03 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,306.21 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $2,518.60 | ↑ +93% |
| INTERGROUP | SHARED SAVINGS | $2,518.60 | ↑ +93% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,518.60 | ↑ +93% |
| HORIZON | OMNIA | $2,647.41 | ↑ +103% |
| BERGEN RISK | ALL PRODUCTS | $2,698.50 | ↑ +107% |
| PRIME HEALTH | WORKERS COMP | $2,878.40 | ↑ +120% |
| PRIME HEALTH | AUTO INSURANCE | $2,878.40 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,058.30 | ↑ +134% |
| HORIZON | SHP | $3,156.17 | ↑ +142% |
| CIGNA | HMO | $3,255.83 | ↑ +149% |
| CIGNA | PPO | $3,255.83 | ↑ +149% |
| HORIZON | HMO | $3,266.62 | ↑ +150% |
| HORIZON | INDEMNITY | $3,309.80 | ↑ +153% |
| QUALCARE | HMO | $3,331.75 | ↑ +155% |
| QUALCARE | WORKERS COMP | $3,331.75 | ↑ +155% |
| QUALCARE | PPO | $3,331.75 | ↑ +155% |
| HORIZON | PPO | $3,343.62 | ↑ +156% |
| AMERIHEALTH | LOCAL HMO | $3,403.71 | ↑ +161% |
| AMERIHEALTH | REGIONAL HMO | $3,403.71 | ↑ +161% |
| OXFORD | ALL PRODUCTS | $6,730.00 | ↑ +415% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +526% |
| UNITED HEALTHCARE | HMO | $8,385.00 | ↑ +542% |
| HORIZON | PIP | $8,615.00 | ↑ +560% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +678% |
| AETNA | PPO | $10,692.00 | ↑ +719% |
| AETNA | HMO | $10,692.00 | ↑ +719% |
| AETNA | ASA | $10,692.00 | ↑ +719% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/balloon dilat at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $315.23 – $2,577.18 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $634.12 – $2,645.66 |
| Community Medical Center | Toms River | $3,786.00 | $649.40 – $2,564.29 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $626.48 – $2,632.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $324.50 – $2,645.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $407.95 – $2,763.23 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,252.96 – $2,597.11 |
| Bayshore Medical Center | Holmdel | $1,305.08 | $1,305.08 – $1,566.09 |