Coombs direct 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.
$180.00
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.
$5.39 with SEOUL MEDICAL GROUP vs $65.80 with HORIZON BCBS BRAVEN — 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 |
|---|---|---|---|
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.39 | ↓ -92% |
| CLOVER | MEDICARE ADVANTAGE | $5.39 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5.50 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $7.17 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $10.63 | ↓ -84% |
| OXFORD | ALL PRODUCTS | $11.75 | ↓ -82% |
| UNITED HEALTHCARE | HMO | $11.75 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $12.57 | ↓ -81% |
| CIGNA | PPO | $25.37 | ↓ -61% |
| CIGNA | HMO | $25.37 | ↓ -61% |
| INTERGROUP | WORKERS COMP | $46.20 | ↓ -30% |
| INTERGROUP | SHARED SAVINGS | $46.20 | ↓ -30% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $46.20 | ↓ -30% |
| HORIZON | PIP | $48.25 | ↓ -27% |
| HORIZON | WORKERS COMP | $48.25 | ↓ -27% |
| HORIZON | OMNIA | $48.56 | ↓ -26% |
| BERGEN RISK | ALL PRODUCTS | $49.50 | ↓ -25% |
| QUALCARE | HMO | $51.02 | ↓ -22% |
| QUALCARE | WORKERS COMP | $51.02 | ↓ -22% |
| QUALCARE | PPO | $51.02 | ↓ -22% |
| PRIME HEALTH | WORKERS COMP | $52.80 | ↓ -20% |
| PRIME HEALTH | AUTO INSURANCE | $52.80 | ↓ -20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $52.80 | ↓ -20% |
| AETNA | ASA | $55.44 | ↓ -16% |
| AETNA | PPO | $55.44 | ↓ -16% |
| AETNA | HMO | $55.44 | ↓ -16% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $56.10 | ↓ -15% |
| HORIZON | SHP | $57.90 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| VACCN | ALL PRODUCTS | $59.40 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $59.40 | ↓ -10% |
| HORIZON | HMO | $59.92 | ↓ -9% |
| HORIZON | INDEMNITY | $60.71 | ↓ -8% |
| HORIZON | PPO | $61.33 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.37 | ↓ -5% |
| AMERIHEALTH | REGIONAL HMO | $62.44 | ↓ -5% |
| AMERIHEALTH | LOCAL HMO | $62.44 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.80 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Coombs direct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5.93 | $2.53 – $222.80 |
| Cooperman Barnabas Medical Center | Livingston | $5.93 | $2.53 – $133.28 |
| Community Medical Center | Toms River | $5.93 | $2.53 – $129.19 |
| Clara Maass Medical Center | Belleville | $5.93 | $2.53 – $132.61 |
| Childrens Specialized Hospital | Mountainside | $54.50 | $4.31 – $4.44 |
| Newark Beth Israel Medical Center | Newark | $5.93 | $2.53 – $133.28 |
| Jersey City Medical Center | Jersey City | $5.93 | $2.53 – $139.20 |
| Monmouth Medical Center | Long Branch | $5.93 | $2.53 – $130.84 |