Diagnostic anoscopy at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$442.06
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.
?
What you pay up front if you don't use insurance.
$317.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$51.04 with AETNA vs $10,163.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $51.04 | ↓ -88% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $54.49 | ↓ -88% |
| CLOVER | MEDICARE ADVANTAGE | $57.06 | ↓ -87% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $68.16 | ↓ -85% |
| HORIZON | MANAGED MEDICAID | $156.52 | ↓ -65% |
| KARNA | MEDICARE ADVANTAGE | $198.47 | ↓ -55% |
| INTERGROUP | SHARED SAVINGS | $221.90 | ↓ -50% |
| INTERGROUP | WORKERS COMP | $221.90 | ↓ -50% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $221.90 | ↓ -50% |
| HORIZON | OMNIA | $233.25 | ↓ -47% |
| BERGEN RISK | ALL PRODUCTS | $237.75 | ↓ -46% |
| PRIME HEALTH | WORKERS COMP | $253.60 | ↓ -43% |
| PRIME HEALTH | AUTO INSURANCE | $253.60 | ↓ -43% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $269.45 | ↓ -39% |
| HORIZON | SHP | $278.07 | ↓ -37% |
| CIGNA | PPO | $286.85 | ↓ -35% |
| CIGNA | HMO | $286.85 | ↓ -35% |
| HORIZON | HMO | $287.80 | ↓ -35% |
| HORIZON | INDEMNITY | $291.61 | ↓ -34% |
| QUALCARE | WORKERS COMP | $293.54 | ↓ -34% |
| QUALCARE | PPO | $293.54 | ↓ -34% |
| QUALCARE | HMO | $293.54 | ↓ -34% |
| HORIZON | PPO | $294.59 | ↓ -33% |
| AMERIHEALTH | REGIONAL HMO | $299.88 | ↓ -32% |
| AMERIHEALTH | LOCAL HMO | $299.88 | ↓ -32% |
| HORIZON | MEDICARE ADVANTAGE | $399.04 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $399.04 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $399.04 | ↓ -10% |
| VACCN | ALL PRODUCTS | $399.04 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $399.04 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $399.04 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $418.99 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.06 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +569% |
| AETNA | PPO | $3,662.00 | ↑ +728% |
| AETNA | HMO | $3,662.00 | ↑ +728% |
| AETNA | ASA | $3,662.00 | ↑ +728% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +730% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1749% |
| HORIZON | PIP | $8,615.00 | ↑ +1849% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2199% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic anoscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $133.04 – $867.84 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $128.35 – $890.90 |
| Bayshore Medical Center | Holmdel | $441.68 | $441.68 – $530.02 |
| Hackensack University Medical Center | Hackensack | $469.93 | $147.72 – $493.43 |
| Ocean University Medical Center | Brick | $436.10 | $192.56 – $523.32 |
| Jersey Shore University Medical Center | Neptune City | $441.68 | $192.56 – $530.02 |
| Palisades Medical Center | North Bergen | $469.93 | $198.47 – $512.23 |
| Raritan Bay Medical Center | Perth Amboy | $442.06 | $121.34 – $530.48 |