Disability dlco at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$173.33
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.
$1,425.00
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.
$79.82 with KARNA vs $1,371.71 with CIGNA — 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 | $79.82 | ↓ -54% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $229.43 | ↑ +32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $244.96 | ↑ +41% |
| CLOVER | MEDICARE ADVANTAGE | $256.50 | ↑ +48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $306.38 | ↑ +77% |
| UNITED HEALTHCARE | HMO | $567.00 | ↑ +227% |
| OXFORD | ALL PRODUCTS | $610.00 | ↑ +252% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $997.50 | ↑ +475% |
| INTERGROUP | WORKERS COMP | $997.50 | ↑ +475% |
| INTERGROUP | SHARED SAVINGS | $997.50 | ↑ +475% |
| HORIZON | PIP | $1,041.68 | ↑ +501% |
| HORIZON | WORKERS COMP | $1,041.68 | ↑ +501% |
| HORIZON | OMNIA | $1,048.52 | ↑ +505% |
| BERGEN RISK | ALL PRODUCTS | $1,068.75 | ↑ +517% |
| PRIME HEALTH | WORKERS COMP | $1,140.00 | ↑ +558% |
| PRIME HEALTH | AUTO INSURANCE | $1,140.00 | ↑ +558% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,211.25 | ↑ +599% |
| HORIZON | SHP | $1,250.01 | ↑ +621% |
| AETNA | ASA | $1,277.80 | ↑ +637% |
| AETNA | PPO | $1,277.80 | ↑ +637% |
| AETNA | HMO | $1,277.80 | ↑ +637% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,282.50 | ↑ +640% |
| HORIZON | HMO | $1,293.76 | ↑ +646% |
| HORIZON | INDEMNITY | $1,310.86 | ↑ +656% |
| QUALCARE | HMO | $1,319.55 | ↑ +661% |
| QUALCARE | PPO | $1,319.55 | ↑ +661% |
| QUALCARE | WORKERS COMP | $1,319.55 | ↑ +661% |
| HORIZON | PPO | $1,324.25 | ↑ +664% |
| AMERIHEALTH | REGIONAL HMO | $1,348.05 | ↑ +678% |
| AMERIHEALTH | LOCAL HMO | $1,348.05 | ↑ +678% |
| CIGNA | HMO | $1,371.71 | ↑ +691% |
| CIGNA | PPO | $1,371.71 | ↑ +691% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Disability dlco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $118.43 | $23.24 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $147.27 | $40.42 – $351.08 |
| Community Medical Center | Toms River | $130.86 | $41.40 – $340.27 |
| Clara Maass Medical Center | Belleville | $127.09 | $39.93 – $349.32 |
| Newark Beth Israel Medical Center | Newark | $144.76 | $23.92 – $351.08 |
| Monmouth Medical Center | Long Branch | $138.06 | $79.87 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $910.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $79.82 – $5,456.00 |