Hdr rdncl ntrstl/icav brchtx at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$768.62
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.
$7,018.00
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.
$293.00 with HORIZON BCBS BRAVEN vs $6,755.53 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $293.00 | ↓ -62% |
| HORIZON | HMO | $509.00 | ↓ -34% |
| HORIZON | WORKERS COMP | $526.00 | ↓ -32% |
| WELLCARE | MANAGED MEDICAID | $693.81 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $693.81 | ↓ -10% |
| VACCN | ALL PRODUCTS | $693.81 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $693.81 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $693.81 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $728.50 | ↓ -5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $768.62 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $1,129.90 | ↑ +47% |
| KARNA | MEDICARE ADVANTAGE | $1,169.00 | ↑ +52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,206.39 | ↑ +57% |
| CLOVER | MEDICARE ADVANTAGE | $1,263.24 | ↑ +64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,508.87 | ↑ +96% |
| AMERIHEALTH | LOCAL HMO | $2,233.13 | ↑ +191% |
| AMERIHEALTH | REGIONAL HMO | $2,233.13 | ↑ +191% |
| OXFORD | ALL PRODUCTS | $2,966.00 | ↑ +286% |
| UNITED HEALTHCARE | HMO | $2,997.00 | ↑ +290% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $3,509.00 | ↑ +357% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,719.54 | ↑ +384% |
| HORIZON | PIP | $4,273.96 | ↑ +456% |
| HORIZON | INDEMNITY | $4,273.96 | ↑ +456% |
| HORIZON | OMNIA | $4,273.96 | ↑ +456% |
| HORIZON | PPO | $4,273.96 | ↑ +456% |
| HORIZON | SHP | $4,273.96 | ↑ +456% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $4,561.70 | ↑ +493% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,912.60 | ↑ +539% |
| INTERGROUP | SHARED SAVINGS | $4,912.60 | ↑ +539% |
| INTERGROUP | WORKERS COMP | $4,912.60 | ↑ +539% |
| BERGEN RISK | ALL PRODUCTS | $5,263.50 | ↑ +585% |
| QUALCARE | PPO | $5,424.91 | ↑ +606% |
| QUALCARE | HMO | $5,424.91 | ↑ +606% |
| QUALCARE | WORKERS COMP | $5,424.91 | ↑ +606% |
| PRIME HEALTH | WORKERS COMP | $5,614.40 | ↑ +630% |
| PRIME HEALTH | AUTO INSURANCE | $5,614.40 | ↑ +630% |
| AETNA | HMO | $5,895.12 | ↑ +667% |
| AETNA | ASA | $5,895.12 | ↑ +667% |
| AETNA | PPO | $5,895.12 | ↑ +667% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,965.30 | ↑ +676% |
| CIGNA | PPO | $6,755.53 | ↑ +779% |
| CIGNA | HMO | $6,755.53 | ↑ +779% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hdr rdncl ntrstl/icav brchtx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,536.51 | $314.80 – $2,530.57 |
| Cooperman Barnabas Medical Center | Livingston | $2,062.84 | $778.40 – $2,790.00 |
| Community Medical Center | Toms River | $1,697.77 | $758.25 – $2,661.00 |
| Clara Maass Medical Center | Belleville | $842.93 | $778.40 – $2,663.00 |
| Newark Beth Israel Medical Center | Newark | $2,027.80 | $324.06 – $2,663.00 |
| Monmouth Medical Center | Long Branch | $1,791.09 | $767.95 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $767.95 | $767.95 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $817.07 | $494.49 – $3,250.00 |