Electrophysiology evaluation at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
not published by hospital
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.
$15,950.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $34,508.00 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | — |
| HORIZON | HMO | $181.00 | — |
| HORIZON | WORKERS COMP | $188.00 | — |
| HORIZON | MANAGED MEDICAID | $255.10 | — |
| KARNA | MEDICARE ADVANTAGE | $1,346.17 | — |
| AETNA | MANAGED MEDICAID | $2,567.95 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,741.81 | — |
| CLOVER | MEDICARE ADVANTAGE | $2,871.00 | — |
| AETNA | MEDICARE ADVANTAGE | $3,285.70 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,429.25 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,477.10 | — |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $7,975.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,570.00 | — |
| HORIZON | OMNIA | $9,713.55 | — |
| HORIZON | SHP | $9,713.55 | — |
| HORIZON | INDEMNITY | $9,713.55 | — |
| HORIZON | PPO | $9,713.55 | — |
| HORIZON | PIP | $9,713.55 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $10,367.50 | — |
| INTERGROUP | WORKERS COMP | $11,165.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,165.00 | — |
| INTERGROUP | SHARED SAVINGS | $11,165.00 | — |
| BERGEN RISK | ALL PRODUCTS | $11,962.50 | — |
| PRIME HEALTH | AUTO INSURANCE | $12,760.00 | — |
| PRIME HEALTH | WORKERS COMP | $12,760.00 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $13,557.50 | — |
| AETNA | HMO | $14,302.37 | — |
| AETNA | ASA | $14,302.37 | — |
| AETNA | PPO | $14,302.37 | — |
| QUALCARE | HMO | $14,769.70 | — |
| QUALCARE | WORKERS COMP | $14,769.70 | — |
| QUALCARE | PPO | $14,769.70 | — |
| AMERIHEALTH | LOCAL HMO | $15,088.70 | — |
| AMERIHEALTH | REGIONAL HMO | $15,088.70 | — |
| CIGNA | HMO | $15,353.47 | — |
| CIGNA | PPO | $15,353.47 | — |
| OXFORD | ALL PRODUCTS | $34,268.00 | — |
| UNITED HEALTHCARE | HMO | $34,508.00 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,312.20 | $211.73 – $211.73 |
| Clara Maass Medical Center | Belleville | $317.24 | $209.18 – $209.18 |
| Newark Beth Israel Medical Center | Newark | $3,255.93 | $152.85 – $383.93 |
| Jersey City Medical Center | Jersey City | $1,905.52 | $192.15 – $229.59 |
| Robert Wood Johnson University Hospital | New Brunswick | $3,334.09 | $21.76 – $192.60 |
| Trinitas Regional Medical Center | Elizabeth | not published | $148.48 – $332.91 |
| Community Medical Center | Toms River | not published | $216.84 – $216.84 |
| Monmouth Medical Center | Long Branch | not published | $418.36 – $418.36 |