Dstr mal ls f/e/e/n/l/m2.1-3 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.
$1,002.00
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.
$161.32 with AETNA vs $10,163.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $161.32 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $172.24 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $177.74 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $180.36 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $215.43 | ↓ -51% |
| KARNA | MEDICARE ADVANTAGE | $364.07 | ↓ -18% |
| AETNA | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $399.53 | ↓ -10% |
| VACCN | ALL PRODUCTS | $399.53 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $419.51 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.61 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $701.40 | ↑ +58% |
| INTERGROUP | SHARED SAVINGS | $701.40 | ↑ +58% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $701.40 | ↑ +58% |
| HORIZON | OMNIA | $737.27 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $751.50 | ↑ +70% |
| PRIME HEALTH | WORKERS COMP | $801.60 | ↑ +81% |
| PRIME HEALTH | AUTO INSURANCE | $801.60 | ↑ +81% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $851.70 | ↑ +92% |
| HORIZON | SHP | $878.95 | ↑ +99% |
| CIGNA | HMO | $906.71 | ↑ +105% |
| CIGNA | PPO | $906.71 | ↑ +105% |
| HORIZON | HMO | $909.72 | ↑ +106% |
| HORIZON | INDEMNITY | $921.74 | ↑ +108% |
| QUALCARE | WORKERS COMP | $927.85 | ↑ +110% |
| QUALCARE | HMO | $927.85 | ↑ +110% |
| QUALCARE | PPO | $927.85 | ↑ +110% |
| HORIZON | PPO | $931.16 | ↑ +110% |
| AMERIHEALTH | LOCAL HMO | $947.89 | ↑ +114% |
| AMERIHEALTH | REGIONAL HMO | $947.89 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +568% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +728% |
| AETNA | ASA | $4,025.00 | ↑ +809% |
| AETNA | PPO | $4,025.00 | ↑ +809% |
| AETNA | HMO | $4,025.00 | ↑ +809% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1747% |
| HORIZON | PIP | $8,615.00 | ↑ +1846% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2196% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dstr mal ls f/e/e/n/l/m2.1-3 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $125.72 – $873.28 |
| Community Medical Center | Toms River | $3,786.00 | $151.08 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $145.75 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $129.41 – $896.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $159.97 – $936.31 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $291.49 – $880.02 |
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $364.07 – $494.04 |