Fragmenting of kidney stone at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,820.84
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.
?
What you pay up front if you don't use insurance.
$12,375.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,217.11 with KARNA vs $25,800.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,217.11 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $1,992.38 | ↓ -48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,127.26 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $2,227.50 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,660.63 | ↓ -30% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,448.97 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,448.97 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,448.97 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,448.97 | ↓ -10% |
| VACCN | ALL PRODUCTS | $3,448.97 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,448.97 | ↓ -10% |
| HORIZON | MANAGED MEDICAID | $3,451.00 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,621.42 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,820.84 | ↑ +0% |
| HORIZON | OMNIA | $7,564.00 | ↑ +98% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +114% |
| HORIZON | PIP | $8,615.00 | ↑ +125% |
| INTERGROUP | SHARED SAVINGS | $8,662.50 | ↑ +127% |
| INTERGROUP | WORKERS COMP | $8,662.50 | ↑ +127% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,662.50 | ↑ +127% |
| HORIZON | SHP | $8,665.00 | ↑ +127% |
| CIGNA | HMO | $9,178.00 | ↑ +140% |
| BERGEN RISK | ALL PRODUCTS | $9,281.25 | ↑ +143% |
| HORIZON | HMO | $9,360.00 | ↑ +145% |
| HORIZON | INDEMNITY | $9,469.00 | ↑ +148% |
| HORIZON | PPO | $9,581.00 | ↑ +151% |
| QUALCARE | HMO | $9,782.00 | ↑ +156% |
| QUALCARE | WORKERS COMP | $9,787.00 | ↑ +156% |
| PRIME HEALTH | AUTO INSURANCE | $9,900.00 | ↑ +159% |
| PRIME HEALTH | WORKERS COMP | $9,900.00 | ↑ +159% |
| QUALCARE | PPO | $9,970.00 | ↑ +161% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,518.75 | ↑ +175% |
| AETNA | ASA | $10,692.00 | ↑ +180% |
| AETNA | PPO | $10,692.00 | ↑ +180% |
| AETNA | HMO | $10,692.00 | ↑ +180% |
| CIGNA | PPO | $10,771.00 | ↑ +182% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,137.50 | ↑ +191% |
| AMERIHEALTH | LOCAL HMO | $16,964.00 | ↑ +344% |
| AMERIHEALTH | REGIONAL HMO | $18,847.00 | ↑ +393% |
| OXFORD | ALL PRODUCTS | $20,656.00 | ↑ +441% |
| UNITED HEALTHCARE | HMO | $25,800.00 | ↑ +575% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $379.95 – $7,538.62 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $621.75 – $7,738.94 |
| Community Medical Center | Toms River | $3,786.00 | $636.74 – $7,500.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $614.26 – $7,700.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $391.13 – $7,738.94 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $491.70 – $8,082.80 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,228.52 – $7,596.88 |
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $4,581.03 |