Ghs refill of implantable pump at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$367.45
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.
$606.00
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.
$97.57 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $97.57 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $104.17 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $109.08 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $130.29 | ↓ -65% |
| KARNA | MEDICARE ADVANTAGE | $164.30 | ↓ -55% |
| VACCN | ALL PRODUCTS | $331.69 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $331.69 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $331.69 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $331.69 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $331.69 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $331.69 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $348.27 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $367.45 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $424.20 | ↑ +15% |
| INTERGROUP | SHARED SAVINGS | $424.20 | ↑ +15% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $424.20 | ↑ +15% |
| HORIZON | OMNIA | $445.89 | ↑ +21% |
| BERGEN RISK | ALL PRODUCTS | $454.50 | ↑ +24% |
| PRIME HEALTH | WORKERS COMP | $484.80 | ↑ +32% |
| PRIME HEALTH | AUTO INSURANCE | $484.80 | ↑ +32% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $515.10 | ↑ +40% |
| HORIZON | SHP | $531.58 | ↑ +45% |
| CIGNA | PPO | $548.37 | ↑ +49% |
| CIGNA | HMO | $548.37 | ↑ +49% |
| HORIZON | HMO | $550.19 | ↑ +50% |
| HORIZON | INDEMNITY | $557.46 | ↑ +52% |
| QUALCARE | PPO | $561.16 | ↑ +53% |
| QUALCARE | HMO | $561.16 | ↑ +53% |
| QUALCARE | WORKERS COMP | $561.16 | ↑ +53% |
| HORIZON | PPO | $563.16 | ↑ +53% |
| AMERIHEALTH | LOCAL HMO | $573.28 | ↑ +56% |
| AMERIHEALTH | REGIONAL HMO | $573.28 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +435% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +705% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +898% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2124% |
| HORIZON | PIP | $8,615.00 | ↑ +2245% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2666% |
| AETNA | ASA | $10,692.00 | ↑ +2810% |
| AETNA | PPO | $10,692.00 | ↑ +2810% |
| AETNA | HMO | $10,692.00 | ↑ +2810% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs refill of implantable pump at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $367.13 | $367.13 – $440.56 |
| Hackensack University Medical Center | Hackensack | $390.62 | $164.30 – $410.15 |
| Ocean University Medical Center | Brick | $362.50 | $155.29 – $435.00 |
| Jersey Shore University Medical Center | Neptune City | $367.13 | $155.29 – $440.56 |
| Palisades Medical Center | North Bergen | $390.62 | $164.30 – $425.77 |
| Raritan Bay Medical Center | Perth Amboy | $367.45 | $164.30 – $440.94 |
| Riverview Medical Center | Red Bank | $367.13 | $155.29 – $440.56 |
| Southern Ocean Medical Center | Manahawkin | $362.50 | $155.29 – $435.00 |