Colposcopy vulva w/biopsy 56821 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$336.99
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.
$799.00
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.
$128.64 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $128.64 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $137.35 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $143.82 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $171.79 | ↓ -49% |
| HORIZON | MANAGED MEDICAID | $226.00 | ↓ -33% |
| KARNA | MEDICARE ADVANTAGE | $239.51 | ↓ -29% |
| AETNA | MEDICARE ADVANTAGE | $304.19 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $304.19 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $304.19 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $304.19 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $304.19 | ↓ -10% |
| VACCN | ALL PRODUCTS | $304.19 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $319.40 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $336.99 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $559.30 | ↑ +66% |
| INTERGROUP | SHARED SAVINGS | $559.30 | ↑ +66% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $559.30 | ↑ +66% |
| HORIZON | OMNIA | $587.90 | ↑ +74% |
| BERGEN RISK | ALL PRODUCTS | $599.25 | ↑ +78% |
| PRIME HEALTH | WORKERS COMP | $639.20 | ↑ +90% |
| PRIME HEALTH | AUTO INSURANCE | $639.20 | ↑ +90% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $679.15 | ↑ +102% |
| HORIZON | SHP | $700.88 | ↑ +108% |
| CIGNA | HMO | $723.02 | ↑ +115% |
| CIGNA | PPO | $723.02 | ↑ +115% |
| HORIZON | HMO | $725.41 | ↑ +115% |
| HORIZON | INDEMNITY | $735.00 | ↑ +118% |
| QUALCARE | HMO | $739.87 | ↑ +120% |
| QUALCARE | WORKERS COMP | $739.87 | ↑ +120% |
| QUALCARE | PPO | $739.87 | ↑ +120% |
| HORIZON | PPO | $742.51 | ↑ +120% |
| AMERIHEALTH | LOCAL HMO | $755.85 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $755.85 | ↑ +124% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +778% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +988% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2325% |
| HORIZON | PIP | $8,615.00 | ↑ +2456% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2916% |
| AETNA | PPO | $10,692.00 | ↑ +3073% |
| AETNA | HMO | $10,692.00 | ↑ +3073% |
| AETNA | ASA | $10,692.00 | ↑ +3073% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Colposcopy vulva w/biopsy 56821 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $192.10 – $661.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $185.32 – $679.15 |
| Bayshore Medical Center | Holmdel | $336.70 | $336.70 – $404.03 |
| Hackensack University Medical Center | Hackensack | $358.23 | $239.51 – $376.14 |
| Ocean University Medical Center | Brick | $332.44 | $233.18 – $398.93 |
| Jersey Shore University Medical Center | Neptune City | $336.70 | $233.18 – $404.03 |
| Palisades Medical Center | North Bergen | $358.23 | $239.51 – $390.47 |
| Raritan Bay Medical Center | Perth Amboy | $336.99 | $239.51 – $404.39 |