Elbow arthroscopy/surgery at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,594.44
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.
$6,543.00
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.
$420.00 with HORIZON vs $15,984.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $420.00 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $1,053.42 | ↓ -71% |
| KARNA | MEDICARE ADVANTAGE | $1,076.84 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,124.74 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $1,177.74 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,406.75 | ↓ -61% |
| VACCN | ALL PRODUCTS | $3,244.61 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,244.61 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,244.61 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,244.61 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,244.61 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,244.61 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,406.84 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,594.44 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $4,580.10 | ↑ +27% |
| INTERGROUP | SHARED SAVINGS | $4,580.10 | ↑ +27% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,580.10 | ↑ +27% |
| HORIZON | OMNIA | $4,814.34 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $4,907.25 | ↑ +37% |
| PRIME HEALTH | WORKERS COMP | $5,234.40 | ↑ +46% |
| PRIME HEALTH | AUTO INSURANCE | $5,234.40 | ↑ +46% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,561.55 | ↑ +55% |
| HORIZON | SHP | $5,739.52 | ↑ +60% |
| CIGNA | HMO | $5,920.76 | ↑ +65% |
| CIGNA | PPO | $5,920.76 | ↑ +65% |
| HORIZON | HMO | $5,940.39 | ↑ +65% |
| HORIZON | INDEMNITY | $6,018.91 | ↑ +67% |
| QUALCARE | PPO | $6,058.82 | ↑ +69% |
| QUALCARE | HMO | $6,058.82 | ↑ +69% |
| QUALCARE | WORKERS COMP | $6,058.82 | ↑ +69% |
| HORIZON | PPO | $6,080.41 | ↑ +69% |
| AMERIHEALTH | REGIONAL HMO | $6,189.68 | ↑ +72% |
| AMERIHEALTH | LOCAL HMO | $6,189.68 | ↑ +72% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +127% |
| HORIZON | PIP | $8,615.00 | ↑ +140% |
| AETNA | ASA | $10,692.00 | ↑ +197% |
| AETNA | PPO | $10,692.00 | ↑ +197% |
| AETNA | HMO | $10,692.00 | ↑ +197% |
| OXFORD | ALL PRODUCTS | $12,418.00 | ↑ +245% |
| UNITED HEALTHCARE | HMO | $15,496.00 | ↑ +331% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +345% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Elbow arthroscopy/surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $255.78 – $7,091.94 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $348.60 – $7,280.38 |
| Community Medical Center | Toms River | $3,786.00 | $357.00 – $7,056.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $344.40 – $7,243.98 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $263.30 – $7,280.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $331.00 – $7,603.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $688.80 – $7,146.75 |
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $15,984.00 |