Exc malig snhfg 0.6-1.0 cm 11621 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$779.45
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.
$2,310.00
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.
$259.74 with HORIZON vs $10,163.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $259.74 | ↓ -67% |
| KARNA | MEDICARE ADVANTAGE | $320.98 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $371.91 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $397.09 | ↓ -49% |
| CLOVER | MEDICARE ADVANTAGE | $415.80 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $496.65 | ↓ -36% |
| VACCN | ALL PRODUCTS | $703.59 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $703.59 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $738.77 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $779.45 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $1,617.00 | ↑ +107% |
| INTERGROUP | SHARED SAVINGS | $1,617.00 | ↑ +107% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,617.00 | ↑ +107% |
| HORIZON | OMNIA | $1,699.70 | ↑ +118% |
| BERGEN RISK | ALL PRODUCTS | $1,732.50 | ↑ +122% |
| PRIME HEALTH | WORKERS COMP | $1,848.00 | ↑ +137% |
| PRIME HEALTH | AUTO INSURANCE | $1,848.00 | ↑ +137% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,963.50 | ↑ +152% |
| HORIZON | SHP | $2,026.33 | ↑ +160% |
| CIGNA | HMO | $2,090.32 | ↑ +168% |
| CIGNA | PPO | $2,090.32 | ↑ +168% |
| HORIZON | HMO | $2,097.25 | ↑ +169% |
| HORIZON | INDEMNITY | $2,124.97 | ↑ +173% |
| QUALCARE | PPO | $2,139.06 | ↑ +174% |
| QUALCARE | WORKERS COMP | $2,139.06 | ↑ +174% |
| QUALCARE | HMO | $2,139.06 | ↑ +174% |
| HORIZON | PPO | $2,146.68 | ↑ +175% |
| AMERIHEALTH | LOCAL HMO | $2,185.26 | ↑ +180% |
| AMERIHEALTH | REGIONAL HMO | $2,185.26 | ↑ +180% |
| AETNA | ASA | $4,025.00 | ↑ +416% |
| AETNA | PPO | $4,025.00 | ↑ +416% |
| AETNA | HMO | $4,025.00 | ↑ +416% |
| OXFORD | ALL PRODUCTS | $4,408.00 | ↑ +466% |
| UNITED HEALTHCARE | HMO | $5,482.00 | ↑ +603% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +949% |
| HORIZON | PIP | $8,615.00 | ↑ +1005% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1204% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig snhfg 0.6-1.0 cm 11621 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $118.98 – $1,537.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $215.58 – $1,578.74 |
| Community Medical Center | Toms River | $3,786.00 | $220.78 – $1,530.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $212.99 – $1,570.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $122.48 – $1,578.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $153.98 – $1,648.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $425.97 – $1,549.77 |
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |