I131 iodide cap, rx at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$23.13
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.
$134.00
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.
$8.72 with AETNA vs $124.08 with QUALCARE — 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 | $8.72 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.31 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $9.75 | ↓ -58% |
| CIGNA | HMO | $17.06 | ↓ -26% |
| CIGNA | PPO | $17.06 | ↓ -26% |
| AMERIHEALTH | LOCAL HMO | $17.23 | ↓ -26% |
| AMERIHEALTH | REGIONAL HMO | $17.23 | ↓ -26% |
| WELLCARE | MEDICARE ADVANTAGE | $23.13 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $23.13 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $23.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $23.13 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $23.13 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $23.13 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $23.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $24.29 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $25.53 | ↑ +10% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $27.08 | ↑ +17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $27.08 | ↑ +17% |
| UNITED HEALTHCARE | HMO | $30.60 | ↑ +32% |
| OXFORD | ALL PRODUCTS | $30.60 | ↑ +32% |
| BERGEN RISK | ALL PRODUCTS | $32.50 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $37.91 | ↑ +64% |
| INTERGROUP | SHARED SAVINGS | $37.91 | ↑ +64% |
| HORIZON | WORKERS COMP | $39.59 | ↑ +71% |
| HORIZON | PIP | $39.59 | ↑ +71% |
| HORIZON | OMNIA | $39.85 | ↑ +72% |
| PRIME HEALTH | AUTO INSURANCE | $43.33 | ↑ +87% |
| PRIME HEALTH | WORKERS COMP | $43.33 | ↑ +87% |
| KARNA | MEDICARE ADVANTAGE | $45.25 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $46.04 | ↑ +99% |
| HORIZON | SHP | $47.51 | ↑ +105% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $48.74 | ↑ +111% |
| HORIZON | HMO | $49.17 | ↑ +113% |
| HORIZON | INDEMNITY | $49.82 | ↑ +115% |
| HORIZON | PPO | $50.33 | ↑ +118% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $67.40 | ↑ +191% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $74.91 | ↑ +224% |
| AETNA | PPO | $120.16 | ↑ +419% |
| AETNA | HMO | $120.16 | ↑ +419% |
| AETNA | ASA | $120.16 | ↑ +419% |
| QUALCARE | WORKERS COMP | $124.08 | ↑ +436% |
| QUALCARE | PPO | $124.08 | ↑ +436% |
| QUALCARE | HMO | $124.08 | ↑ +436% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
I131 iodide cap, rx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $23.13 | $23.13 – $43.21 |
| Hackensack University Medical Center | Hackensack | $23.13 | $18.50 – $45.25 |
| Ocean University Medical Center | Brick | $23.13 | $23.13 – $44.31 |
| Jersey Shore University Medical Center | Neptune City | $23.13 | $23.13 – $44.57 |
| Palisades Medical Center | North Bergen | $23.13 | $23.13 – $45.25 |
| Raritan Bay Medical Center | Perth Amboy | $23.13 | $23.13 – $45.25 |
| Riverview Medical Center | Red Bank | $23.13 | $23.13 – $44.31 |
| Southern Ocean Medical Center | Manahawkin | $23.13 | $23.13 – $44.31 |