Destruction mal lsn t/a/l 3.1-4cm at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$442.61
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.
not published by hospital
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.
$143.22 with HORIZON vs $650.15 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 | $143.22 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $279.73 | ↓ -37% |
| HORIZON | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| VACCN | ALL PRODUCTS | $399.53 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $399.53 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $419.51 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.61 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $650.15 | ↑ +47% |
Visitor-reported prices
Comments
Destruction mal lsn t/a/l 3.1-4cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $121.74 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $117.44 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $110.50 – $896.48 |
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $279.73 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $270.14 – $650.15 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $270.14 – $530.67 |
| Palisades Medical Center | North Bergen | $470.51 | $141.07 – $512.86 |