Cystoscopy prostatic imp 1-3 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$5,631.74
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.
$11,468.00
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.
$1,846.35 with AETNA vs $11,287.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,846.35 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,971.35 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $2,064.24 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,465.62 | ↓ -56% |
| VACCN | ALL PRODUCTS | $5,083.62 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $5,083.62 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,083.62 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,083.62 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,083.62 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $5,083.62 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,337.80 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,631.74 | ↑ +0% |
| HORIZON | OMNIA | $7,564.00 | ↑ +34% |
| INTERGROUP | WORKERS COMP | $8,027.60 | ↑ +43% |
| INTERGROUP | SHARED SAVINGS | $8,027.60 | ↑ +43% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,027.60 | ↑ +43% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +45% |
| BERGEN RISK | ALL PRODUCTS | $8,601.00 | ↑ +53% |
| HORIZON | PIP | $8,615.00 | ↑ +53% |
| HORIZON | SHP | $8,665.00 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $9,050.00 | ↑ +61% |
| QUALCARE | WORKERS COMP | $9,170.00 | ↑ +63% |
| PRIME HEALTH | AUTO INSURANCE | $9,174.40 | ↑ +63% |
| PRIME HEALTH | WORKERS COMP | $9,174.40 | ↑ +63% |
| CIGNA | HMO | $9,178.00 | ↑ +63% |
| QUALCARE | HMO | $9,342.00 | ↑ +66% |
| QUALCARE | PPO | $9,342.00 | ↑ +66% |
| HORIZON | HMO | $9,360.00 | ↑ +66% |
| HORIZON | INDEMNITY | $9,469.00 | ↑ +68% |
| HORIZON | PPO | $9,581.00 | ↑ +70% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,747.80 | ↑ +73% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +80% |
| CIGNA | PPO | $10,377.39 | ↑ +84% |
| AETNA | ASA | $10,692.00 | ↑ +90% |
| AETNA | PPO | $10,692.00 | ↑ +90% |
| AETNA | HMO | $10,692.00 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $10,711.00 | ↑ +90% |
| AMERIHEALTH | REGIONAL HMO | $10,848.73 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $11,287.00 | ↑ +100% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy prostatic imp 1-3 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $6,752.23 |
| Hackensack University Medical Center | Hackensack | $5,986.78 | $4,789.42 – $6,286.11 |
| Ocean University Medical Center | Brick | $5,555.79 | $5,083.62 – $6,666.94 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $5,626.86 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $5,986.78 – $6,525.59 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $5,631.74 – $6,758.08 |
| Riverview Medical Center | Red Bank | $5,626.86 | $5,626.86 – $6,752.23 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $5,555.79 – $6,666.94 |