Dialysis one evaluation at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$471.73
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.
$1,433.00
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.
$144.87 with KARNA vs $2,180.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $144.87 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $230.71 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $246.33 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $257.94 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $308.10 | ↓ -35% |
| HORIZON | MANAGED MEDICAID | $384.00 | ↓ -19% |
| WELLCARE | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $425.82 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| VACCN | ALL PRODUCTS | $425.82 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $447.11 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $471.73 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $749.89 | ↑ +59% |
| AMERIHEALTH | REGIONAL HMO | $821.40 | ↑ +74% |
| INTERGROUP | SHARED SAVINGS | $1,003.10 | ↑ +113% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,003.10 | ↑ +113% |
| INTERGROUP | WORKERS COMP | $1,003.10 | ↑ +113% |
| HORIZON | PIP | $1,047.52 | ↑ +122% |
| HORIZON | WORKERS COMP | $1,047.52 | ↑ +122% |
| HORIZON | OMNIA | $1,054.40 | ↑ +124% |
| BERGEN RISK | ALL PRODUCTS | $1,074.75 | ↑ +128% |
| PRIME HEALTH | AUTO INSURANCE | $1,146.40 | ↑ +143% |
| PRIME HEALTH | WORKERS COMP | $1,146.40 | ↑ +143% |
| AETNA | ASA | $1,157.86 | ↑ +145% |
| AETNA | HMO | $1,157.86 | ↑ +145% |
| AETNA | PPO | $1,157.86 | ↑ +145% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,218.05 | ↑ +158% |
| HORIZON | SHP | $1,257.03 | ↑ +166% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,289.70 | ↑ +173% |
| HORIZON | HMO | $1,301.02 | ↑ +176% |
| HORIZON | INDEMNITY | $1,318.22 | ↑ +179% |
| QUALCARE | HMO | $1,326.96 | ↑ +181% |
| QUALCARE | PPO | $1,326.96 | ↑ +181% |
| QUALCARE | WORKERS COMP | $1,326.96 | ↑ +181% |
| HORIZON | PPO | $1,331.69 | ↑ +182% |
| CIGNA | HMO | $1,379.41 | ↑ +192% |
| CIGNA | PPO | $1,379.41 | ↑ +192% |
| OXFORD | ALL PRODUCTS | $1,887.00 | ↑ +300% |
| UNITED HEALTHCARE | HMO | $2,180.00 | ↑ +362% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $281.73 | $42.93 – $955.00 |
| Cooperman Barnabas Medical Center | Livingston | $481.01 | $318.72 – $955.48 |
| Community Medical Center | Toms River | $311.30 | $326.40 – $926.09 |
| Clara Maass Medical Center | Belleville | $210.23 | $314.88 – $950.70 |
| Newark Beth Israel Medical Center | Newark | $472.84 | $44.19 – $955.48 |
| Jersey City Medical Center | Jersey City | $311.90 | $55.56 – $997.93 |
| Monmouth Medical Center | Long Branch | $328.41 | $471.32 – $937.93 |
| Bayshore Medical Center | Holmdel | $471.32 | $218.00 – $1,567.00 |