Cystoscopy and treatment at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$739.44
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.
$4,758.00
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.
$237.30 with HORIZON vs $15,984.00 with BRIGHTON HEALTH PLAN — 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 | $237.30 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $409.01 | ↓ -45% |
| WELLCARE | MANAGED MEDICAID | $667.47 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $667.47 | ↓ -10% |
| VACCN | ALL PRODUCTS | $667.47 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $667.47 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $667.47 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $667.47 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $700.84 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $739.44 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $766.04 | ↑ +4% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $817.90 | ↑ +11% |
| CLOVER | MEDICARE ADVANTAGE | $856.44 | ↑ +16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,022.97 | ↑ +38% |
| INTERGROUP | SHARED SAVINGS | $3,330.60 | ↑ +350% |
| INTERGROUP | WORKERS COMP | $3,330.60 | ↑ +350% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,330.60 | ↑ +350% |
| HORIZON | OMNIA | $3,500.94 | ↑ +373% |
| BERGEN RISK | ALL PRODUCTS | $3,568.50 | ↑ +383% |
| AETNA | PPO | $3,662.00 | ↑ +395% |
| AETNA | ASA | $3,662.00 | ↑ +395% |
| AETNA | HMO | $3,662.00 | ↑ +395% |
| PRIME HEALTH | AUTO INSURANCE | $3,806.40 | ↑ +415% |
| PRIME HEALTH | WORKERS COMP | $3,806.40 | ↑ +415% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,044.30 | ↑ +447% |
| HORIZON | SHP | $4,173.72 | ↑ +464% |
| CIGNA | PPO | $4,305.51 | ↑ +482% |
| CIGNA | HMO | $4,305.51 | ↑ +482% |
| HORIZON | HMO | $4,319.79 | ↑ +484% |
| HORIZON | INDEMNITY | $4,376.88 | ↑ +492% |
| QUALCARE | PPO | $4,405.91 | ↑ +496% |
| QUALCARE | HMO | $4,405.91 | ↑ +496% |
| QUALCARE | WORKERS COMP | $4,405.91 | ↑ +496% |
| HORIZON | PPO | $4,421.61 | ↑ +498% |
| AMERIHEALTH | LOCAL HMO | $4,501.07 | ↑ +509% |
| AMERIHEALTH | REGIONAL HMO | $4,501.07 | ↑ +509% |
| OXFORD | ALL PRODUCTS | $6,730.00 | ↑ +810% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1005% |
| UNITED HEALTHCARE | HMO | $8,385.00 | ↑ +1034% |
| HORIZON | PIP | $8,615.00 | ↑ +1065% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +2062% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $180.48 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $196.96 – $1,497.70 |
| Community Medical Center | Toms River | $3,786.00 | $201.71 – $1,451.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $194.59 – $1,490.21 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $185.79 – $1,497.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $213.57 – $1,564.24 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $389.17 – $1,470.21 |
| Bayshore Medical Center | Holmdel | $738.80 | $738.80 – $15,984.00 |