Dch validity tests at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3.48
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.
$45.00
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.
$1.10 with UNITED HEALTHCARE vs $42.57 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1.10 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3.48 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3.48 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3.48 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $3.48 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $3.48 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3.65 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $4.63 | ↑ +33% |
| AETNA | MANAGED MEDICAID | $7.25 | ↑ +108% |
| OXFORD | ALL PRODUCTS | $7.59 | ↑ +118% |
| UNITED HEALTHCARE | HMO | $7.59 | ↑ +118% |
| HORIZON | MANAGED MEDICAID | $8.57 | ↑ +146% |
| CIGNA | HMO | $16.38 | ↑ +371% |
| CIGNA | PPO | $16.38 | ↑ +371% |
| INTERGROUP | SHARED SAVINGS | $31.50 | ↑ +805% |
| INTERGROUP | WORKERS COMP | $31.50 | ↑ +805% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $31.50 | ↑ +805% |
| HORIZON | PIP | $32.90 | ↑ +845% |
| HORIZON | WORKERS COMP | $32.90 | ↑ +845% |
| HORIZON | OMNIA | $33.11 | ↑ +851% |
| BERGEN RISK | ALL PRODUCTS | $33.75 | ↑ +870% |
| QUALCARE | HMO | $34.79 | ↑ +900% |
| QUALCARE | WORKERS COMP | $34.79 | ↑ +900% |
| QUALCARE | PPO | $34.79 | ↑ +900% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $36.00 | ↑ +934% |
| PRIME HEALTH | AUTO INSURANCE | $36.00 | ↑ +934% |
| PRIME HEALTH | WORKERS COMP | $36.00 | ↑ +934% |
| AETNA | ASA | $37.80 | ↑ +986% |
| AETNA | PPO | $37.80 | ↑ +986% |
| AETNA | HMO | $37.80 | ↑ +986% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $38.25 | ↑ +999% |
| HORIZON | SHP | $39.47 | ↑ +1034% |
| HORIZON | HMO | $40.86 | ↑ +1074% |
| HORIZON | INDEMNITY | $41.40 | ↑ +1090% |
| HORIZON | PPO | $41.82 | ↑ +1102% |
| AMERIHEALTH | LOCAL HMO | $42.57 | ↑ +1123% |
| AMERIHEALTH | REGIONAL HMO | $42.57 | ↑ +1123% |
Visitor-reported prices
Comments
Dch validity tests at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $3.83 | $1.64 – $15.22 |
| Cooperman Barnabas Medical Center | Livingston | $3.83 | $1.64 – $14.69 |
| Community Medical Center | Toms River | $3.83 | $1.64 – $14.69 |
| Clara Maass Medical Center | Belleville | $3.83 | $1.64 – $14.69 |
| Childrens Specialized Hospital | Mountainside | $18.00 | $2.78 – $2.86 |
| Newark Beth Israel Medical Center | Newark | $3.83 | $1.64 – $14.69 |
| Jersey City Medical Center | Jersey City | $3.83 | $1.64 – $14.69 |
| Monmouth Medical Center | Long Branch | $3.83 | $1.64 – $14.69 |