ER Visit (level 5, high severity) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$679.20
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.
?
What you pay up front if you don't use insurance.
$4,125.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$290.51 with KARNA vs $4,810.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $290.51 | ↓ -57% |
| HORIZON | MANAGED MEDICAID | $389.00 | ↓ -43% |
| WELLCARE | MANAGED MEDICAID | $613.10 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| VACCN | ALL PRODUCTS | $613.10 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $643.76 | ↓ -5% |
| AETNA | MANAGED MEDICAID | $664.13 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $679.20 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $742.50 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $886.88 | ↑ +31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,100.00 | ↑ +62% |
| HORIZON | WORKERS COMP | $1,312.00 | ↑ +93% |
| AMERIHEALTH | LOCAL HMO | $1,400.00 | ↑ +106% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $1,558.00 | ↑ +129% |
| CIGNA | HMO | $1,996.00 | ↑ +194% |
| HORIZON | OMNIA | $2,248.00 | ↑ +231% |
| HORIZON | SHP | $2,576.00 | ↑ +279% |
| HORIZON | PIP | $2,615.00 | ↑ +285% |
| CIGNA | PPO | $2,715.00 | ↑ +300% |
| HORIZON | HMO | $2,784.00 | ↑ +310% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,887.50 | ↑ +325% |
| INTERGROUP | SHARED SAVINGS | $2,887.50 | ↑ +325% |
| INTERGROUP | WORKERS COMP | $2,887.50 | ↑ +325% |
| OXFORD | ALL PRODUCTS | $3,090.00 | ↑ +355% |
| UNITED HEALTHCARE | HMO | $3,120.00 | ↑ +359% |
| PRIME HEALTH | AUTO INSURANCE | $3,300.00 | ↑ +386% |
| PRIME HEALTH | WORKERS COMP | $3,300.00 | ↑ +386% |
| HORIZON | INDEMNITY | $3,470.00 | ↑ +411% |
| HORIZON | PPO | $3,483.00 | ↑ +413% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,506.25 | ↑ +416% |
| AETNA | ASA | $3,530.00 | ↑ +420% |
| AETNA | PPO | $3,530.00 | ↑ +420% |
| AETNA | HMO | $3,530.00 | ↑ +420% |
| QUALCARE | PPO | $3,800.00 | ↑ +459% |
| QUALCARE | WORKERS COMP | $4,122.00 | ↑ +507% |
| QUALCARE | HMO | $4,199.00 | ↑ +518% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,810.00 | ↑ +608% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $817.80 | $90.41 – $1,862.00 |
| Cooperman Barnabas Medical Center | Livingston | $967.11 | $687.85 – $2,179.00 |
| Community Medical Center | Toms River | $903.64 | $670.04 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $769.94 | $687.85 – $1,465.00 |
| Newark Beth Israel Medical Center | Newark | $950.68 | $93.07 – $1,485.00 |
| Jersey City Medical Center | Jersey City | $905.38 | $117.00 – $1,605.00 |
| Monmouth Medical Center | Long Branch | $953.31 | $678.62 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $678.62 | $678.62 – $1,787.00 |