Decompression of tibia nerve at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$2,163.32
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.
$6,271.00
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.
$390.58 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $390.58 | ↓ -82% |
| KARNA | MEDICARE ADVANTAGE | $779.27 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $1,009.63 | ↓ -53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,077.98 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $1,128.78 | ↓ -48% |
| AETNA | MEDICARE ADVANTAGE | $1,291.83 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,348.27 | ↓ -38% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,643.00 | ↓ -24% |
| HORIZON | MEDICARE ADVANTAGE | $1,952.77 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,952.77 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,952.77 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,952.77 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,050.41 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,163.32 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $3,377.16 | ↑ +56% |
| INTERGROUP | WORKERS COMP | $4,389.70 | ↑ +103% |
| INTERGROUP | SHARED SAVINGS | $4,389.70 | ↑ +103% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,389.70 | ↑ +103% |
| HORIZON | OMNIA | $4,614.20 | ↑ +113% |
| BERGEN RISK | ALL PRODUCTS | $4,703.25 | ↑ +117% |
| PRIME HEALTH | WORKERS COMP | $5,016.80 | ↑ +132% |
| PRIME HEALTH | AUTO INSURANCE | $5,016.80 | ↑ +132% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,330.35 | ↑ +146% |
| HORIZON | SHP | $5,500.92 | ↑ +154% |
| CIGNA | HMO | $5,674.63 | ↑ +162% |
| CIGNA | PPO | $5,674.63 | ↑ +162% |
| HORIZON | HMO | $5,693.44 | ↑ +163% |
| HORIZON | INDEMNITY | $5,768.69 | ↑ +167% |
| QUALCARE | HMO | $5,806.95 | ↑ +168% |
| QUALCARE | WORKERS COMP | $5,806.95 | ↑ +168% |
| QUALCARE | PPO | $5,806.95 | ↑ +168% |
| HORIZON | PPO | $5,827.64 | ↑ +169% |
| AMERIHEALTH | LOCAL HMO | $5,932.37 | ↑ +174% |
| AMERIHEALTH | REGIONAL HMO | $5,932.37 | ↑ +174% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +278% |
| HORIZON | PIP | $8,615.00 | ↑ +298% |
| OXFORD | ALL PRODUCTS | $9,050.00 | ↑ +318% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +370% |
| AETNA | PPO | $10,692.00 | ↑ +394% |
| AETNA | HMO | $10,692.00 | ↑ +394% |
| AETNA | ASA | $10,692.00 | ↑ +394% |
| UNITED HEALTHCARE | HMO | $11,287.00 | ↑ +422% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Decompression of tibia nerve at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $272.78 – $4,268.28 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $324.18 – $4,381.70 |
| Community Medical Center | Toms River | $3,786.00 | $331.99 – $4,246.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $320.28 – $4,359.79 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $280.80 – $4,381.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $351.52 – $4,576.40 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $640.55 – $4,301.27 |
| Bayshore Medical Center | Holmdel | $2,161.44 | $2,161.44 – $2,593.73 |