Ghs moderate sedation, > 5 yr, 30 min, other 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.
$493.00
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.
$79.37 with AETNA vs $474.56 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $79.37 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $84.75 | — |
| CLOVER | MEDICARE ADVANTAGE | $88.74 | — |
| AETNA | MEDICARE ADVANTAGE | $101.56 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $106.00 | — |
| KARNA | MEDICARE ADVANTAGE | $124.41 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $129.17 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $247.98 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $275.59 | — |
| INTERGROUP | SHARED SAVINGS | $345.10 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $345.10 | — |
| INTERGROUP | WORKERS COMP | $345.10 | — |
| HORIZON | PIP | $360.38 | — |
| HORIZON | WORKERS COMP | $360.38 | — |
| HORIZON | OMNIA | $362.75 | — |
| BERGEN RISK | ALL PRODUCTS | $369.75 | — |
| PRIME HEALTH | WORKERS COMP | $394.40 | — |
| PRIME HEALTH | AUTO INSURANCE | $394.40 | — |
| OXFORD | ALL PRODUCTS | $408.11 | — |
| UNITED HEALTHCARE | HMO | $409.93 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $419.05 | — |
| HORIZON | SHP | $432.46 | — |
| AETNA | ASA | $442.07 | — |
| AETNA | HMO | $442.07 | — |
| AETNA | PPO | $442.07 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $443.70 | — |
| HORIZON | HMO | $447.59 | — |
| HORIZON | INDEMNITY | $453.51 | — |
| QUALCARE | WORKERS COMP | $456.52 | — |
| QUALCARE | PPO | $456.52 | — |
| QUALCARE | HMO | $456.52 | — |
| HORIZON | PPO | $458.14 | — |
| AMERIHEALTH | LOCAL HMO | $466.38 | — |
| AMERIHEALTH | REGIONAL HMO | $466.38 | — |
| CIGNA | HMO | $474.56 | — |
| CIGNA | PPO | $474.56 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $37.18 – $37.18 |
| Newark Beth Israel Medical Center | Newark | not published | $38.27 – $38.27 |
| Jersey City Medical Center | Jersey City | not published | $48.11 – $48.11 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $124.41 – $124.41 |
| Ocean University Medical Center | Brick | not published | $121.49 – $121.49 |
| Jersey Shore University Medical Center | Neptune City | not published | $121.49 – $121.49 |
| Palisades Medical Center | North Bergen | not published | $124.41 – $124.41 |