Ghs st - re-eval for alt comm at JFK Johnson Rehabilitation Institute (JRI)

65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 28, 2026

$93.37

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$550.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$35.42 with AETNA vs $576.00 with UNITED HEALTHCARE — 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 →

Payer
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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
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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 $35.42 ↓ -62%
UNITED HEALTHCARE MANAGED MEDICAID $37.82 ↓ -59%
CLOVER MEDICARE ADVANTAGE $39.60 ↓ -58%
SEOUL MEDICAL GROUP ALL PRODUCTS $47.30 ↓ -49%
AMERIGROUP MEDICARE ADVANTAGE $47.96 ↓ -49%
HORIZON MANAGED MEDICAID $60.00 ↓ -36%
AMERIGROUP MANAGED MEDICAID $93.37 ↑ +0%
AETNA MEDICARE ADVANTAGE $93.37 ↑ +0%
VACCN ALL PRODUCTS $93.37 ↑ +0%
HORIZON MEDICARE ADVANTAGE $93.37 ↑ +0%
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE $93.37 ↑ +0%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $98.04 ↑ +5%
CIGNA - JRI@OUMC ALL PRODUCTS $110.00 ↑ +18%
HORIZON - JRI@OUMC MEDICARE ADVANTAGE $116.00 ↑ +24%
KARNA MEDICARE ADVANTAGE $124.50 ↑ +33%
HORIZON PPO $133.98 ↑ +43%
HORIZON INDEMNITY $133.98 ↑ +43%
HORIZON OMNIA $133.98 ↑ +43%
HORIZON PIP $133.98 ↑ +43%
HORIZON SHP $133.98 ↑ +43%
ACTIVECARE FIRST MCO ALL PRODUCTS $154.00 ↑ +65%
INTERGROUP SHARED SAVINGS $154.00 ↑ +65%
INTERGROUP WORKERS COMP $154.00 ↑ +65%
HORIZON WORKERS COMP $160.82 ↑ +72%
BERGEN RISK ALL PRODUCTS $165.00 ↑ +77%
PRIME HEALTH WORKERS COMP $176.00 ↑ +88%
PRIME HEALTH AUTO INSURANCE $176.00 ↑ +88%
HORIZON HMO $181.00 ↑ +94%
MULTIPLAN - PHCS ALL PRODUCTS $187.00 ↑ +100%
OXFORD - JRI@OUMC ALL PRODUCTS $193.00 ↑ +107%
UNITED HEALTHCARE - JRI@OUMC ALL PRODUCTS $193.00 ↑ +107%
AETNA ASA $197.27 ↑ +111%
AETNA HMO $197.27 ↑ +111%
AETNA PPO $197.27 ↑ +111%
BRIGHTON HEALTH PLAN ALL PRODUCTS $198.00 ↑ +112%
QUALCARE WORKERS COMP $203.72 ↑ +118%
QUALCARE PPO $203.72 ↑ +118%
QUALCARE HMO $203.72 ↑ +118%
HORIZON - JRI@OUMC PIP $205.00 ↑ +120%
HORIZON - JRI@OUMC NON-MANAGED $205.00 ↑ +120%
HORIZON - JRI@OUMC MANAGED MEDICAID $205.00 ↑ +120%
HORIZON - JRI@OUMC WORKERS COMP $205.00 ↑ +120%
AMERIHEALTH REGIONAL HMO $208.12 ↑ +123%
AMERIHEALTH LOCAL HMO $208.12 ↑ +123%
CIGNA HMO $211.77 ↑ +127%
CIGNA PPO $211.77 ↑ +127%
WELLCARE MEDICARE ADVANTAGE $224.00 ↑ +140%
WELLCARE MANAGED MEDICAID $224.00 ↑ +140%
OXFORD ALL PRODUCTS $413.00 ↑ +342%
BRIGHTON HEALTH PLAN - JRI@OUMC ALL PRODUCTS $500.00 ↑ +436%
UNITED HEALTHCARE HMO $576.00 ↑ +517%

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Ghs st - re-eval for alt comm at other New-jersey hospitals

Hospital City Cash price Negotiated range
Bayshore Medical Center Holmdel $93.37 $93.37 – $614.00
Hackensack University Medical Center Hackensack $93.37 $54.05 – $406.00
Ocean University Medical Center Brick $93.37 $60.00 – $525.00
Jersey Shore University Medical Center Neptune City $93.37 $74.70 – $326.00
Palisades Medical Center North Bergen $93.37 $92.59 – $769.00
Raritan Bay Medical Center Perth Amboy $93.37 $90.00 – $265.00
Riverview Medical Center Red Bank $93.37 $93.37 – $301.00
Southern Ocean Medical Center Manahawkin $93.37 $93.37 – $332.00

All New-jersey hospitals for this procedure →