Extraction erupted tooth/exr at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,841.89
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.
$1,855.00
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.
$245.68 with KARNA vs $10,692.00 with AETNA — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $245.68 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $298.66 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $318.87 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $333.90 | ↓ -82% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $398.83 | ↓ -78% |
| INTERGROUP | SHARED SAVINGS | $1,298.50 | ↓ -30% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,298.50 | ↓ -30% |
| INTERGROUP | WORKERS COMP | $1,298.50 | ↓ -30% |
| HORIZON | OMNIA | $1,364.91 | ↓ -26% |
| BERGEN RISK | ALL PRODUCTS | $1,391.25 | ↓ -24% |
| PRIME HEALTH | AUTO INSURANCE | $1,484.00 | ↓ -19% |
| PRIME HEALTH | WORKERS COMP | $1,484.00 | ↓ -19% |
| OXFORD | ALL PRODUCTS | $1,535.57 | ↓ -17% |
| UNITED HEALTHCARE | HMO | $1,542.43 | ↓ -16% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,576.75 | ↓ -14% |
| HORIZON | SHP | $1,627.21 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $1,662.63 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,662.63 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,662.63 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,662.63 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,662.63 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,662.63 | ↓ -10% |
| CIGNA | HMO | $1,678.59 | ↓ -9% |
| CIGNA | PPO | $1,678.59 | ↓ -9% |
| HORIZON | HMO | $1,684.15 | ↓ -9% |
| HORIZON | INDEMNITY | $1,706.41 | ↓ -7% |
| QUALCARE | HMO | $1,717.73 | ↓ -7% |
| QUALCARE | PPO | $1,717.73 | ↓ -7% |
| QUALCARE | WORKERS COMP | $1,717.73 | ↓ -7% |
| HORIZON | PPO | $1,723.85 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,745.76 | ↓ -5% |
| AMERIHEALTH | LOCAL HMO | $1,754.83 | ↓ -5% |
| AMERIHEALTH | REGIONAL HMO | $1,754.83 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,841.89 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +7% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +344% |
| HORIZON | PIP | $8,615.00 | ↑ +368% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +452% |
| AETNA | HMO | $10,692.00 | ↑ +480% |
| AETNA | PPO | $10,692.00 | ↑ +480% |
| AETNA | ASA | $10,692.00 | ↑ +480% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Extraction erupted tooth/exr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,840.30 | $1,840.30 – $2,208.36 |
| Hackensack University Medical Center | Hackensack | $1,958.01 | $245.68 – $2,055.91 |
| Ocean University Medical Center | Brick | $1,817.06 | $240.60 – $2,180.47 |
| Jersey Shore University Medical Center | Neptune City | $1,840.30 | $240.60 – $2,208.36 |
| Palisades Medical Center | North Bergen | $1,958.01 | $245.68 – $2,134.23 |
| Raritan Bay Medical Center | Perth Amboy | $1,841.89 | $245.68 – $2,210.27 |
| Riverview Medical Center | Red Bank | $1,840.30 | $240.60 – $2,208.36 |
| Southern Ocean Medical Center | Manahawkin | $1,817.06 | $240.60 – $2,180.47 |