Gu dilat ureter/urethra s&i at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$2,269.38
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.
$4,466.00
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.
$229.94 with KARNA vs $5,141.40 with OXFORD — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $229.94 | ↓ -90% |
| CIGNA | PPO | $299.12 | ↓ -87% |
| CIGNA | HMO | $299.12 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $719.03 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $767.71 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $803.88 | ↓ -65% |
| HORIZON | MANAGED MEDICAID | $850.77 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $960.19 | ↓ -58% |
| WELLCARE | MEDICARE ADVANTAGE | $2,048.51 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,048.51 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $2,048.51 | ↓ -10% |
| VACCN | ALL PRODUCTS | $2,048.51 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $2,048.51 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $2,048.51 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,150.94 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,269.38 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $3,126.20 | ↑ +38% |
| INTERGROUP | WORKERS COMP | $3,126.20 | ↑ +38% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,126.20 | ↑ +38% |
| HORIZON | PIP | $3,264.65 | ↑ +44% |
| HORIZON | WORKERS COMP | $3,264.65 | ↑ +44% |
| HORIZON | OMNIA | $3,286.08 | ↑ +45% |
| BERGEN RISK | ALL PRODUCTS | $3,349.50 | ↑ +48% |
| QUALCARE | WORKERS COMP | $3,452.22 | ↑ +52% |
| QUALCARE | PPO | $3,452.22 | ↑ +52% |
| QUALCARE | HMO | $3,452.22 | ↑ +52% |
| PRIME HEALTH | AUTO INSURANCE | $3,572.80 | ↑ +57% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,572.80 | ↑ +57% |
| PRIME HEALTH | WORKERS COMP | $3,572.80 | ↑ +57% |
| AETNA | ASA | $3,751.44 | ↑ +65% |
| AETNA | PPO | $3,751.44 | ↑ +65% |
| AETNA | HMO | $3,751.44 | ↑ +65% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,796.10 | ↑ +67% |
| HORIZON | SHP | $3,917.58 | ↑ +73% |
| HORIZON | HMO | $4,054.68 | ↑ +79% |
| HORIZON | INDEMNITY | $4,108.27 | ↑ +81% |
| HORIZON | PPO | $4,150.25 | ↑ +83% |
| AMERIHEALTH | LOCAL HMO | $4,224.84 | ↑ +86% |
| AMERIHEALTH | REGIONAL HMO | $4,224.84 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $5,141.40 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $5,141.40 | ↑ +127% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $706.50 | $46.60 – $4,477.56 |
| Cooperman Barnabas Medical Center | Livingston | $621.29 | $148.17 – $4,596.52 |
| Community Medical Center | Toms River | $780.65 | $148.17 – $4,455.17 |
| Newark Beth Israel Medical Center | Newark | $610.73 | $63.78 – $4,596.52 |
| Monmouth Medical Center | Long Branch | $823.56 | $197.56 – $4,512.15 |
| Bayshore Medical Center | Holmdel | $2,267.41 | $184.47 – $4,854.52 |
| Hackensack University Medical Center | Hackensack | $2,412.45 | $227.06 – $5,544.82 |
| Ocean University Medical Center | Brick | $2,238.78 | $184.47 – $2,238.78 |