Ghs intermed repair 12.6 - 20.0 cm-12035 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$442.61
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.
$1,595.00
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.
$246.28 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 | $246.28 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $256.80 | ↓ -42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $274.18 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $287.10 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $342.93 | ↓ -23% |
| VACCN | ALL PRODUCTS | $399.53 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $399.53 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $419.51 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.61 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $517.08 | ↑ +17% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,116.50 | ↑ +152% |
| INTERGROUP | WORKERS COMP | $1,116.50 | ↑ +152% |
| INTERGROUP | SHARED SAVINGS | $1,116.50 | ↑ +152% |
| HORIZON | OMNIA | $1,173.60 | ↑ +165% |
| BERGEN RISK | ALL PRODUCTS | $1,196.25 | ↑ +170% |
| PRIME HEALTH | WORKERS COMP | $1,276.00 | ↑ +188% |
| PRIME HEALTH | AUTO INSURANCE | $1,276.00 | ↑ +188% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,355.75 | ↑ +206% |
| HORIZON | SHP | $1,399.13 | ↑ +216% |
| CIGNA | HMO | $1,443.32 | ↑ +226% |
| CIGNA | PPO | $1,443.32 | ↑ +226% |
| HORIZON | HMO | $1,448.10 | ↑ +227% |
| HORIZON | INDEMNITY | $1,467.24 | ↑ +231% |
| QUALCARE | WORKERS COMP | $1,476.97 | ↑ +234% |
| QUALCARE | HMO | $1,476.97 | ↑ +234% |
| QUALCARE | PPO | $1,476.97 | ↑ +234% |
| HORIZON | PPO | $1,482.23 | ↑ +235% |
| AMERIHEALTH | LOCAL HMO | $1,508.87 | ↑ +241% |
| AMERIHEALTH | REGIONAL HMO | $1,508.87 | ↑ +241% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +568% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +728% |
| AETNA | ASA | $4,025.00 | ↑ +809% |
| AETNA | PPO | $4,025.00 | ↑ +809% |
| AETNA | HMO | $4,025.00 | ↑ +809% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1747% |
| HORIZON | PIP | $8,615.00 | ↑ +1846% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2196% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs intermed repair 12.6 - 20.0 cm-12035 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $201.54 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $204.41 – $896.48 |
| Community Medical Center | Toms River | $3,786.00 | $209.34 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $201.95 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $207.47 – $896.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $221.65 – $936.31 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $403.90 – $880.02 |
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |