Endo cath bile duct s&i 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.
$1,373.00
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.
$221.05 with AETNA vs $1,321.65 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $221.05 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $236.02 | — |
| CLOVER | MEDICARE ADVANTAGE | $247.14 | — |
| HORIZON | MANAGED MEDICAID | $261.56 | — |
| AETNA | MEDICARE ADVANTAGE | $282.84 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $295.20 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $359.73 | — |
| KARNA | MEDICARE ADVANTAGE | $519.82 | — |
| INTERGROUP | WORKERS COMP | $961.10 | — |
| INTERGROUP | SHARED SAVINGS | $961.10 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $961.10 | — |
| HORIZON | WORKERS COMP | $1,003.66 | — |
| HORIZON | PIP | $1,003.66 | — |
| HORIZON | OMNIA | $1,010.25 | — |
| BERGEN RISK | ALL PRODUCTS | $1,029.75 | — |
| QUALCARE | PPO | $1,061.33 | — |
| QUALCARE | WORKERS COMP | $1,061.33 | — |
| QUALCARE | HMO | $1,061.33 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,098.40 | — |
| PRIME HEALTH | WORKERS COMP | $1,098.40 | — |
| PRIME HEALTH | AUTO INSURANCE | $1,098.40 | — |
| OXFORD | ALL PRODUCTS | $1,136.57 | — |
| UNITED HEALTHCARE | HMO | $1,141.65 | — |
| AETNA | PPO | $1,153.32 | — |
| AETNA | HMO | $1,153.32 | — |
| AETNA | ASA | $1,153.32 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,167.05 | — |
| HORIZON | SHP | $1,204.40 | — |
| HORIZON | HMO | $1,246.55 | — |
| HORIZON | INDEMNITY | $1,263.02 | — |
| HORIZON | PPO | $1,275.93 | — |
| AMERIHEALTH | LOCAL HMO | $1,298.86 | — |
| AMERIHEALTH | REGIONAL HMO | $1,298.86 | — |
| CIGNA | PPO | $1,321.65 | — |
| CIGNA | HMO | $1,321.65 | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Endo cath bile duct s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $231.05 | $27.69 – $302.59 |
| Cooperman Barnabas Medical Center | Livingston | $180.32 | $190.86 – $343.00 |
| Community Medical Center | Toms River | $255.30 | $190.86 – $190.86 |
| Clara Maass Medical Center | Belleville | $199.09 | $190.86 – $190.86 |
| Jersey City Medical Center | Jersey City | $255.80 | $35.84 – $300.61 |
| Monmouth Medical Center | Long Branch | $269.34 | $190.86 – $343.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $164.06 | $190.86 – $190.86 |
| Robert Wood Johnson University Hospital | New Brunswick | $181.51 | $37.87 – $190.86 |