Established Patient Office Visit (level 2) 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.
$330.00
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.
$49.06 with HORIZON vs $312.18 with AMERIHEALTH — 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 | BH | $49.06 | — |
| AETNA | MANAGED MEDICAID | $53.13 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $56.73 | — |
| CLOVER | MEDICARE ADVANTAGE | $59.40 | — |
| KARNA | MEDICARE ADVANTAGE | $59.44 | — |
| AETNA | MEDICARE ADVANTAGE | $67.98 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $70.95 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $86.46 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $165.99 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $184.47 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $231.00 | — |
| INTERGROUP | WORKERS COMP | $231.00 | — |
| INTERGROUP | SHARED SAVINGS | $231.00 | — |
| HORIZON | WORKERS COMP | $241.23 | — |
| HORIZON | PIP | $241.23 | — |
| HORIZON | OMNIA | $242.81 | — |
| BERGEN RISK | ALL PRODUCTS | $247.50 | — |
| PRIME HEALTH | WORKERS COMP | $264.00 | — |
| PRIME HEALTH | AUTO INSURANCE | $264.00 | — |
| OXFORD | ALL PRODUCTS | $273.17 | — |
| UNITED HEALTHCARE | HMO | $274.40 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $280.50 | — |
| HORIZON | SHP | $289.48 | — |
| AETNA | PPO | $295.91 | — |
| AETNA | HMO | $295.91 | — |
| AETNA | ASA | $295.91 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $297.00 | — |
| HORIZON | HMO | $299.61 | — |
| HORIZON | INDEMNITY | $303.57 | — |
| QUALCARE | PPO | $305.58 | — |
| QUALCARE | WORKERS COMP | $305.58 | — |
| QUALCARE | HMO | $305.58 | — |
| HORIZON | PPO | $306.67 | — |
| AMERIHEALTH | REGIONAL HMO | $312.18 | — |
| AMERIHEALTH | LOCAL HMO | $312.18 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| 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 | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $87.28 | $30.25 – $49.06 |
| Cooperman Barnabas Medical Center | Livingston | $98.53 | $49.06 – $49.06 |
| Community Medical Center | Toms River | $96.44 | $49.06 – $49.06 |
| Clara Maass Medical Center | Belleville | $92.48 | $49.06 – $49.06 |
| Childrens Specialized Hospital | Mountainside | $159.00 | $134.16 – $134.16 |
| Newark Beth Israel Medical Center | Newark | $96.85 | $31.14 – $49.06 |
| Jersey City Medical Center | Jersey City | $96.62 | $39.15 – $49.06 |
| Monmouth Medical Center | Long Branch | $101.74 | $49.06 – $49.06 |