ER Visit (level 4) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$471.73
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.
$3,036.00
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.
$200.68 with KARNA vs $4,810.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $200.68 | ↓ -57% |
| HORIZON | MANAGED MEDICAID | $389.00 | ↓ -18% |
| WELLCARE | MANAGED MEDICAID | $425.82 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| VACCN | ALL PRODUCTS | $425.82 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $425.82 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $447.11 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $471.73 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $488.80 | ↑ +4% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $544.00 | ↑ +15% |
| CLOVER | MEDICARE ADVANTAGE | $546.48 | ↑ +16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $652.74 | ↑ +38% |
| HORIZON | WORKERS COMP | $1,312.00 | ↑ +178% |
| AMERIHEALTH | LOCAL HMO | $1,400.00 | ↑ +197% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +223% |
| AMERIHEALTH | REGIONAL HMO | $1,558.00 | ↑ +230% |
| CIGNA | HMO | $1,996.00 | ↑ +323% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,125.20 | ↑ +351% |
| INTERGROUP | SHARED SAVINGS | $2,125.20 | ↑ +351% |
| INTERGROUP | WORKERS COMP | $2,125.20 | ↑ +351% |
| HORIZON | OMNIA | $2,248.00 | ↑ +377% |
| PRIME HEALTH | AUTO INSURANCE | $2,428.80 | ↑ +415% |
| PRIME HEALTH | WORKERS COMP | $2,428.80 | ↑ +415% |
| HORIZON | SHP | $2,576.00 | ↑ +446% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,580.60 | ↑ +447% |
| HORIZON | PIP | $2,615.00 | ↑ +454% |
| CIGNA | PPO | $2,715.00 | ↑ +476% |
| HORIZON | HMO | $2,784.00 | ↑ +490% |
| OXFORD | ALL PRODUCTS | $3,090.00 | ↑ +555% |
| UNITED HEALTHCARE | HMO | $3,120.00 | ↑ +561% |
| AETNA | ASA | $3,183.00 | ↑ +575% |
| AETNA | HMO | $3,183.00 | ↑ +575% |
| AETNA | PPO | $3,183.00 | ↑ +575% |
| HORIZON | INDEMNITY | $3,470.00 | ↑ +636% |
| HORIZON | PPO | $3,483.00 | ↑ +638% |
| QUALCARE | PPO | $3,800.00 | ↑ +706% |
| QUALCARE | WORKERS COMP | $4,122.00 | ↑ +774% |
| QUALCARE | HMO | $4,199.00 | ↑ +790% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,810.00 | ↑ +920% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $581.68 | $62.43 – $1,862.00 |
| Cooperman Barnabas Medical Center | Livingston | $663.88 | $477.74 – $2,179.00 |
| Community Medical Center | Toms River | $642.73 | $465.37 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $551.94 | $477.74 – $1,465.00 |
| Newark Beth Israel Medical Center | Newark | $652.60 | $64.27 – $1,485.00 |
| Jersey City Medical Center | Jersey City | $643.97 | $80.80 – $1,605.00 |
| Monmouth Medical Center | Long Branch | $678.06 | $471.32 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $471.32 | $471.32 – $1,787.00 |