Ercp biliary & pancreas at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
not published by hospital
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.
$1,947.00
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.
$313.47 with AETNA vs $1,874.18 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $313.47 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $334.69 | — |
| CLOVER | MEDICARE ADVANTAGE | $350.46 | — |
| HORIZON | MANAGED MEDICAID | $370.90 | — |
| AETNA | MEDICARE ADVANTAGE | $401.08 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $418.61 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $510.11 | — |
| KARNA | MEDICARE ADVANTAGE | $517.84 | — |
| INTERGROUP | WORKERS COMP | $1,362.90 | — |
| INTERGROUP | SHARED SAVINGS | $1,362.90 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,362.90 | — |
| HORIZON | WORKERS COMP | $1,423.26 | — |
| HORIZON | PIP | $1,423.26 | — |
| HORIZON | OMNIA | $1,432.60 | — |
| BERGEN RISK | ALL PRODUCTS | $1,460.25 | — |
| QUALCARE | PPO | $1,505.03 | — |
| QUALCARE | WORKERS COMP | $1,505.03 | — |
| QUALCARE | HMO | $1,505.03 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,557.60 | — |
| PRIME HEALTH | WORKERS COMP | $1,557.60 | — |
| PRIME HEALTH | AUTO INSURANCE | $1,557.60 | — |
| OXFORD | ALL PRODUCTS | $1,611.73 | — |
| UNITED HEALTHCARE | HMO | $1,618.93 | — |
| AETNA | PPO | $1,635.48 | — |
| AETNA | HMO | $1,635.48 | — |
| AETNA | ASA | $1,635.48 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,654.95 | — |
| HORIZON | SHP | $1,707.91 | — |
| HORIZON | HMO | $1,767.68 | — |
| HORIZON | INDEMNITY | $1,791.05 | — |
| HORIZON | PPO | $1,809.35 | — |
| AMERIHEALTH | LOCAL HMO | $1,841.86 | — |
| AMERIHEALTH | REGIONAL HMO | $1,841.86 | — |
| CIGNA | PPO | $1,874.18 | — |
| CIGNA | HMO | $1,874.18 | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $373.33 | $77.52 – $197.60 |
| Cooperman Barnabas Medical Center | Livingston | $344.97 | $124.64 – $343.00 |
| Community Medical Center | Toms River | $412.51 | $124.64 – $124.64 |
| Clara Maass Medical Center | Belleville | $402.77 | $124.64 – $124.64 |
| Newark Beth Israel Medical Center | Newark | $339.11 | $79.80 – $343.00 |
| Jersey City Medical Center | Jersey City | $413.31 | $100.32 – $300.61 |
| Monmouth Medical Center | Long Branch | $435.19 | $124.64 – $343.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $331.89 | $124.64 – $124.64 |