Endo outlet restrict w/tube at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$11,533.76
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.
$30,652.00
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.
$1,967.00 with HORIZON vs $26,054.20 with MULTIPLAN - PHCS — 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 | $1,967.00 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $4,934.97 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,269.08 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $5,517.36 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,590.18 | ↓ -43% |
| HORIZON | OMNIA | $7,564.00 | ↓ -34% |
| HORIZON | WORKERS COMP | $8,173.00 | ↓ -29% |
| HORIZON | PIP | $8,615.00 | ↓ -25% |
| HORIZON | SHP | $8,665.00 | ↓ -25% |
| QUALCARE | WORKERS COMP | $9,170.00 | ↓ -20% |
| CIGNA | HMO | $9,178.00 | ↓ -20% |
| QUALCARE | PPO | $9,342.00 | ↓ -19% |
| QUALCARE | HMO | $9,342.00 | ↓ -19% |
| HORIZON | HMO | $9,360.00 | ↓ -19% |
| HORIZON | INDEMNITY | $9,469.00 | ↓ -18% |
| HORIZON | PPO | $9,581.00 | ↓ -17% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↓ -12% |
| AMERIGROUP | MEDICARE ADVANTAGE | $10,411.22 | ↓ -10% |
| VACCN | ALL PRODUCTS | $10,411.22 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $10,411.22 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $10,411.22 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $10,411.22 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $10,411.22 | ↓ -10% |
| AETNA | PPO | $10,692.00 | ↓ -7% |
| AETNA | HMO | $10,692.00 | ↓ -7% |
| AETNA | ASA | $10,692.00 | ↓ -7% |
| AMERIHEALTH | LOCAL HMO | $10,711.00 | ↓ -7% |
| CIGNA | PPO | $10,771.00 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10,931.78 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,533.76 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $11,904.00 | ↑ +3% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↑ +35% |
| OXFORD | ALL PRODUCTS | $20,656.00 | ↑ +79% |
| INTERGROUP | SHARED SAVINGS | $21,456.40 | ↑ +86% |
| INTERGROUP | WORKERS COMP | $21,456.40 | ↑ +86% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $21,456.40 | ↑ +86% |
| PRIME HEALTH | WORKERS COMP | $24,521.60 | ↑ +113% |
| PRIME HEALTH | AUTO INSURANCE | $24,521.60 | ↑ +113% |
| UNITED HEALTHCARE | HMO | $25,800.00 | ↑ +124% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $26,054.20 | ↑ +126% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Endo outlet restrict w/tube at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11,523.76 | $11,523.76 – $13,828.52 |
| Hackensack University Medical Center | Hackensack | $12,260.88 | $9,808.70 – $12,873.92 |
| Ocean University Medical Center | Brick | $11,378.21 | $10,411.22 – $13,653.86 |
| Jersey Shore University Medical Center | Neptune City | $11,523.76 | $11,523.76 – $13,828.52 |
| Palisades Medical Center | North Bergen | $12,260.88 | $12,260.88 – $13,364.36 |
| Raritan Bay Medical Center | Perth Amboy | $11,533.76 | $11,533.76 – $13,840.51 |
| Riverview Medical Center | Red Bank | $11,523.76 | $11,523.76 – $13,828.52 |
| Southern Ocean Medical Center | Manahawkin | $11,378.21 | $11,378.21 – $13,653.86 |