Ercp bil/panc duct; each stent plcmt 43274 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$6,594.64
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.
$7,040.00
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.
$421.84 with HORIZON vs $11,287.00 with UNITED HEALTHCARE — 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 | $421.84 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $960.28 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $1,133.44 | ↓ -83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,210.18 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $1,267.20 | ↓ -81% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,513.60 | ↓ -77% |
| AETNA | PPO | $3,662.00 | ↓ -44% |
| AETNA | HMO | $3,662.00 | ↓ -44% |
| AETNA | ASA | $3,662.00 | ↓ -44% |
| INTERGROUP | WORKERS COMP | $4,928.00 | ↓ -25% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,928.00 | ↓ -25% |
| INTERGROUP | SHARED SAVINGS | $4,928.00 | ↓ -25% |
| HORIZON | OMNIA | $5,180.03 | ↓ -21% |
| BERGEN RISK | ALL PRODUCTS | $5,280.00 | ↓ -20% |
| PRIME HEALTH | AUTO INSURANCE | $5,632.00 | ↓ -15% |
| PRIME HEALTH | WORKERS COMP | $5,632.00 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $5,952.81 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $5,952.81 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,952.81 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,952.81 | ↓ -10% |
| VACCN | ALL PRODUCTS | $5,952.81 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,952.81 | ↓ -10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,984.00 | ↓ -9% |
| HORIZON | SHP | $6,175.49 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,250.45 | ↓ -5% |
| CIGNA | HMO | $6,370.50 | ↓ -3% |
| CIGNA | PPO | $6,370.50 | ↓ -3% |
| HORIZON | HMO | $6,391.62 | ↓ -3% |
| HORIZON | INDEMNITY | $6,476.10 | ↓ -2% |
| QUALCARE | HMO | $6,519.04 | ↓ -1% |
| QUALCARE | PPO | $6,519.04 | ↓ -1% |
| QUALCARE | WORKERS COMP | $6,519.04 | ↓ -1% |
| HORIZON | PPO | $6,542.27 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,594.64 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $6,659.84 | ↑ +1% |
| AMERIHEALTH | LOCAL HMO | $6,659.84 | ↑ +1% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +24% |
| HORIZON | PIP | $8,615.00 | ↑ +31% |
| OXFORD | ALL PRODUCTS | $9,050.00 | ↑ +37% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +54% |
| UNITED HEALTHCARE | HMO | $11,287.00 | ↑ +71% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $229.60 – $13,011.42 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $350.13 – $13,357.16 |
| Community Medical Center | Toms River | $3,786.00 | $358.56 – $12,946.36 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $345.91 – $13,290.37 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $236.36 – $13,357.16 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $297.13 – $13,950.68 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $691.82 – $13,111.97 |
| Bayshore Medical Center | Holmdel | $6,588.93 | $6,588.93 – $7,906.71 |