Cysto w/ureter stricture tx at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,820.84
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.
?
What you pay up front if you don't use insurance.
$4,891.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$364.00 with HORIZON vs $15,984.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $364.00 | ↓ -90% |
| KARNA | MEDICARE ADVANTAGE | $590.08 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $787.45 | ↓ -79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $840.76 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $880.38 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $1,007.55 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,051.57 | ↓ -72% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,281.44 | ↓ -66% |
| INTERGROUP | SHARED SAVINGS | $3,423.70 | ↓ -10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,423.70 | ↓ -10% |
| INTERGROUP | WORKERS COMP | $3,423.70 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,448.97 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,448.97 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,448.97 | ↓ -10% |
| VACCN | ALL PRODUCTS | $3,448.97 | ↓ -10% |
| HORIZON | OMNIA | $3,598.80 | ↓ -6% |
| BRIGHTON HEALTH PLAN | PNO | $3,601.28 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,621.42 | ↓ -5% |
| AETNA | PPO | $3,662.00 | ↓ -4% |
| AETNA | ASA | $3,662.00 | ↓ -4% |
| AETNA | HMO | $3,662.00 | ↓ -4% |
| BERGEN RISK | ALL PRODUCTS | $3,668.25 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,820.84 | ↑ +0% |
| PRIME HEALTH | WORKERS COMP | $3,912.80 | ↑ +2% |
| PRIME HEALTH | AUTO INSURANCE | $3,912.80 | ↑ +2% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,157.35 | ↑ +9% |
| HORIZON | SHP | $4,290.39 | ↑ +12% |
| CIGNA | PPO | $4,425.87 | ↑ +16% |
| CIGNA | HMO | $4,425.87 | ↑ +16% |
| HORIZON | HMO | $4,440.54 | ↑ +16% |
| HORIZON | INDEMNITY | $4,499.23 | ↑ +18% |
| QUALCARE | HMO | $4,529.07 | ↑ +19% |
| QUALCARE | WORKERS COMP | $4,529.07 | ↑ +19% |
| QUALCARE | PPO | $4,529.07 | ↑ +19% |
| HORIZON | PPO | $4,545.21 | ↑ +19% |
| AMERIHEALTH | LOCAL HMO | $4,626.89 | ↑ +21% |
| AMERIHEALTH | REGIONAL HMO | $4,626.89 | ↑ +21% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +114% |
| HORIZON | PIP | $8,615.00 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $9,050.00 | ↑ +137% |
| UNITED HEALTHCARE | HMO | $11,287.00 | ↑ +195% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +318% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cysto w/ureter stricture tx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $141.22 – $7,538.62 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $302.12 – $7,738.94 |
| Community Medical Center | Toms River | $3,786.00 | $309.40 – $7,500.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $298.48 – $7,700.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $145.37 – $7,738.94 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $182.75 – $8,082.80 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $596.96 – $7,596.88 |
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $15,984.00 |