Create eardrum opening at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,640.99
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.
$4,639.00
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.
$149.58 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 | $149.58 | ↓ -91% |
| KARNA | MEDICARE ADVANTAGE | $349.16 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $746.88 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $797.44 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $835.02 | ↓ -49% |
| AETNA | MEDICARE ADVANTAGE | $955.63 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $997.39 | ↓ -39% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,215.42 | ↓ -26% |
| HORIZON | MEDICARE ADVANTAGE | $1,481.28 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,481.28 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,481.28 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,481.28 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,555.34 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,640.99 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $2,647.74 | ↑ +61% |
| INTERGROUP | WORKERS COMP | $3,247.30 | ↑ +98% |
| INTERGROUP | SHARED SAVINGS | $3,247.30 | ↑ +98% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,247.30 | ↑ +98% |
| HORIZON | OMNIA | $3,413.38 | ↑ +108% |
| BERGEN RISK | ALL PRODUCTS | $3,479.25 | ↑ +112% |
| PRIME HEALTH | WORKERS COMP | $3,711.20 | ↑ +126% |
| PRIME HEALTH | AUTO INSURANCE | $3,711.20 | ↑ +126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,943.15 | ↑ +140% |
| HORIZON | SHP | $4,069.33 | ↑ +148% |
| CIGNA | HMO | $4,197.83 | ↑ +156% |
| CIGNA | PPO | $4,197.83 | ↑ +156% |
| HORIZON | HMO | $4,211.75 | ↑ +157% |
| HORIZON | INDEMNITY | $4,267.42 | ↑ +160% |
| QUALCARE | HMO | $4,295.71 | ↑ +162% |
| QUALCARE | WORKERS COMP | $4,295.71 | ↑ +162% |
| QUALCARE | PPO | $4,295.71 | ↑ +162% |
| HORIZON | PPO | $4,311.02 | ↑ +163% |
| AMERIHEALTH | LOCAL HMO | $4,388.49 | ↑ +167% |
| AMERIHEALTH | REGIONAL HMO | $4,388.49 | ↑ +167% |
| OXFORD | ALL PRODUCTS | $6,730.00 | ↑ +310% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +398% |
| UNITED HEALTHCARE | HMO | $8,385.00 | ↑ +411% |
| HORIZON | PIP | $8,615.00 | ↑ +425% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +519% |
| AETNA | PPO | $10,692.00 | ↑ +552% |
| AETNA | HMO | $10,692.00 | ↑ +552% |
| AETNA | ASA | $10,692.00 | ↑ +552% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Create eardrum opening at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $82.71 – $3,237.72 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $124.15 – $3,323.76 |
| Community Medical Center | Toms River | $3,786.00 | $127.14 – $3,221.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $122.66 – $3,307.14 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $85.14 – $3,323.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $107.04 – $3,471.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $245.31 – $3,262.74 |
| Bayshore Medical Center | Holmdel | $1,639.57 | $1,639.57 – $1,967.48 |