Identify sperm tissue at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$59.19
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.
$370.00
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.
$53.43 with AMERIGROUP vs $10,163.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $53.43 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $53.43 | ↓ -10% |
| VACCN | ALL PRODUCTS | $53.43 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $56.10 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.19 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $59.57 | ↑ +1% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $63.60 | ↑ +7% |
| CLOVER | MEDICARE ADVANTAGE | $66.60 | ↑ +13% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $79.55 | ↑ +34% |
| OXFORD | ALL PRODUCTS | $108.48 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $108.48 | ↑ +83% |
| INTERGROUP | WORKERS COMP | $259.00 | ↑ +338% |
| INTERGROUP | SHARED SAVINGS | $259.00 | ↑ +338% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $259.00 | ↑ +338% |
| HORIZON | OMNIA | $272.25 | ↑ +360% |
| BERGEN RISK | ALL PRODUCTS | $277.50 | ↑ +369% |
| QUALCARE | WORKERS COMP | $286.01 | ↑ +383% |
| QUALCARE | PPO | $286.01 | ↑ +383% |
| QUALCARE | HMO | $286.01 | ↑ +383% |
| PRIME HEALTH | AUTO INSURANCE | $296.00 | ↑ +400% |
| PRIME HEALTH | WORKERS COMP | $296.00 | ↑ +400% |
| AETNA | ASA | $310.80 | ↑ +425% |
| AETNA | PPO | $310.80 | ↑ +425% |
| AETNA | HMO | $310.80 | ↑ +425% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $314.50 | ↑ +431% |
| HORIZON | SHP | $324.56 | ↑ +448% |
| CIGNA | HMO | $334.81 | ↑ +466% |
| CIGNA | PPO | $334.81 | ↑ +466% |
| HORIZON | HMO | $335.92 | ↑ +468% |
| HORIZON | INDEMNITY | $340.36 | ↑ +475% |
| HORIZON | PPO | $343.84 | ↑ +481% |
| AMERIHEALTH | LOCAL HMO | $350.02 | ↑ +491% |
| AMERIHEALTH | REGIONAL HMO | $350.02 | ↑ +491% |
| KARNA | MEDICARE ADVANTAGE | $1,008.19 | ↑ +1603% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +3223% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +13708% |
| HORIZON | PIP | $8,615.00 | ↑ +14455% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +17070% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Identify sperm tissue at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Hackensack University Medical Center | Hackensack | $62.92 | $50.34 – $1,008.19 |
| Ocean University Medical Center | Brick | $58.39 | $53.43 – $987.34 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $987.34 |
| Palisades Medical Center | North Bergen | $62.92 | $62.92 – $1,008.19 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $1,008.19 |
| Riverview Medical Center | Red Bank | $59.14 | $59.14 – $987.34 |
| Southern Ocean Medical Center | Manahawkin | $58.39 | $58.39 – $987.34 |