Dx gastr intub w/asp specs 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.
$470.00
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.
$75.67 with AETNA vs $10,692.00 with AETNA — 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 | $75.67 | ↓ -56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $80.79 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $84.60 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $101.05 | ↓ -42% |
| HORIZON | MANAGED MEDICAID | $105.74 | ↓ -39% |
| KARNA | MEDICARE ADVANTAGE | $126.98 | ↓ -27% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $329.00 | ↑ +90% |
| INTERGROUP | SHARED SAVINGS | $329.00 | ↑ +90% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $329.00 | ↑ +90% |
| HORIZON | OMNIA | $345.83 | ↑ +100% |
| BERGEN RISK | ALL PRODUCTS | $352.50 | ↑ +103% |
| PRIME HEALTH | WORKERS COMP | $376.00 | ↑ +117% |
| PRIME HEALTH | AUTO INSURANCE | $376.00 | ↑ +117% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $399.50 | ↑ +130% |
| HORIZON | SHP | $412.28 | ↑ +138% |
| CIGNA | HMO | $425.30 | ↑ +145% |
| CIGNA | PPO | $425.30 | ↑ +145% |
| HORIZON | HMO | $426.71 | ↑ +146% |
| HORIZON | INDEMNITY | $432.35 | ↑ +149% |
| QUALCARE | HMO | $435.22 | ↑ +151% |
| QUALCARE | WORKERS COMP | $435.22 | ↑ +151% |
| QUALCARE | PPO | $435.22 | ↑ +151% |
| HORIZON | PPO | $436.77 | ↑ +152% |
| AMERIHEALTH | LOCAL HMO | $444.62 | ↑ +157% |
| AMERIHEALTH | REGIONAL HMO | $444.62 | ↑ +157% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +1607% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +2016% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +4615% |
| HORIZON | PIP | $8,615.00 | ↑ +4870% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +5763% |
| AETNA | PPO | $10,692.00 | ↑ +6069% |
| AETNA | HMO | $10,692.00 | ↑ +6069% |
| AETNA | ASA | $10,692.00 | ↑ +6069% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dx gastr intub w/asp specs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $207.82 |
| Hackensack University Medical Center | Hackensack | $184.26 | $126.98 – $193.47 |
| Ocean University Medical Center | Brick | $170.99 | $122.80 – $205.19 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $122.80 – $207.82 |
| Palisades Medical Center | North Bergen | $184.26 | $126.98 – $200.84 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $126.98 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $122.80 – $207.82 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $122.80 – $205.19 |