ER Visit (level 2) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$175.43
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.
$1,348.00
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.
$69.41 with KARNA vs $4,199.00 with QUALCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $69.41 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $134.00 | ↓ -24% |
| WELLCARE | MANAGED MEDICAID | $158.36 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $158.36 | ↓ -10% |
| VACCN | ALL PRODUCTS | $158.36 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $158.36 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $158.36 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $158.36 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $166.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $175.43 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $217.03 | ↑ +24% |
| CLOVER | MEDICARE ADVANTAGE | $242.64 | ↑ +38% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $275.00 | ↑ +57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $289.82 | ↑ +65% |
| HORIZON | OMNIA | $320.00 | ↑ +82% |
| HORIZON | SHP | $366.00 | ↑ +109% |
| HORIZON | HMO | $394.00 | ↑ +125% |
| HORIZON | INDEMNITY | $403.00 | ↑ +130% |
| HORIZON | PPO | $404.00 | ↑ +130% |
| CIGNA | PPO | $412.00 | ↑ +135% |
| CIGNA | HMO | $412.00 | ↑ +135% |
| OXFORD | ALL PRODUCTS | $432.00 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $436.00 | ↑ +149% |
| AETNA | ASA | $445.00 | ↑ +154% |
| AETNA | PPO | $445.00 | ↑ +154% |
| AETNA | HMO | $445.00 | ↑ +154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $481.00 | ↑ +174% |
| INTERGROUP | WORKERS COMP | $943.60 | ↑ +438% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $943.60 | ↑ +438% |
| INTERGROUP | SHARED SAVINGS | $943.60 | ↑ +438% |
| PRIME HEALTH | WORKERS COMP | $1,078.40 | ↑ +515% |
| PRIME HEALTH | AUTO INSURANCE | $1,078.40 | ↑ +515% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,145.80 | ↑ +553% |
| HORIZON | WORKERS COMP | $1,312.00 | ↑ +648% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +768% |
| AMERIHEALTH | REGIONAL HMO | $1,558.00 | ↑ +788% |
| HORIZON | PIP | $2,615.00 | ↑ +1391% |
| QUALCARE | PPO | $3,800.00 | ↑ +2066% |
| QUALCARE | WORKERS COMP | $4,122.00 | ↑ +2250% |
| QUALCARE | HMO | $4,199.00 | ↑ +2294% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $267.84 | $20.76 – $400.00 |
| Cooperman Barnabas Medical Center | Livingston | $324.41 | $177.67 – $1,387.00 |
| Community Medical Center | Toms River | $295.95 | $173.07 – $1,387.00 |
| Clara Maass Medical Center | Belleville | $313.26 | $177.67 – $1,387.00 |
| Newark Beth Israel Medical Center | Newark | $318.90 | $21.37 – $1,387.00 |
| Jersey City Medical Center | Jersey City | $296.53 | $26.86 – $1,387.00 |
| Monmouth Medical Center | Long Branch | $312.22 | $175.28 – $1,387.00 |
| Bayshore Medical Center | Holmdel | $175.28 | $175.28 – $1,522.00 |