Consultation pathology during surgery at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$65.80
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.
not published by hospital
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.
$36.30 with UNITED HEALTHCARE vs $73.77 with OXFORD — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.30 | ↓ -45% |
| AMERIGROUP | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| VACCN | ALL PRODUCTS | $59.40 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $59.40 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.37 | ↓ -5% |
| KARNA | MEDICARE ADVANTAGE | $63.32 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.80 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $66.49 | ↑ +1% |
| UNITED HEALTHCARE | HMO | $73.77 | ↑ +12% |
| OXFORD | ALL PRODUCTS | $73.77 | ↑ +12% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $39.41 | $15.96 – $129.84 |
| Cooperman Barnabas Medical Center | Livingston | $27.54 | $15.96 – $133.28 |
| Community Medical Center | Toms River | $43.55 | $15.96 – $129.19 |
| Clara Maass Medical Center | Belleville | $29.83 | $15.96 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $27.07 | $15.96 – $133.28 |
| Jersey City Medical Center | Jersey City | $43.63 | $15.96 – $139.20 |
| Bayshore Medical Center | Holmdel | $65.75 | $64.79 – $71.66 |
| Hackensack University Medical Center | Hackensack | $69.95 | $49.06 – $78.15 |