Ihc/icc per specimen initial single antibody stain at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$189.84
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.
$715.00
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.
$11.94 with UNITED HEALTHCARE vs $688.26 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $11.94 | ↓ -94% |
| AETNA | MANAGED MEDICAID | $115.12 | ↓ -39% |
| HORIZON | MANAGED MEDICAID | $136.21 | ↓ -28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $153.73 | ↓ -19% |
| VACCN | ALL PRODUCTS | $171.36 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $171.36 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.93 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $204.59 | ↑ +8% |
| OXFORD | ALL PRODUCTS | $325.17 | ↑ +71% |
| UNITED HEALTHCARE | HMO | $325.17 | ↑ +71% |
| INTERGROUP | WORKERS COMP | $500.50 | ↑ +164% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $500.50 | ↑ +164% |
| INTERGROUP | SHARED SAVINGS | $500.50 | ↑ +164% |
| HORIZON | PIP | $522.67 | ↑ +175% |
| HORIZON | WORKERS COMP | $522.67 | ↑ +175% |
| HORIZON | OMNIA | $526.10 | ↑ +177% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +182% |
| QUALCARE | WORKERS COMP | $552.70 | ↑ +191% |
| QUALCARE | PPO | $552.70 | ↑ +191% |
| QUALCARE | HMO | $552.70 | ↑ +191% |
| PRIME HEALTH | AUTO INSURANCE | $572.00 | ↑ +201% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $572.00 | ↑ +201% |
| PRIME HEALTH | WORKERS COMP | $572.00 | ↑ +201% |
| AETNA | ASA | $600.60 | ↑ +216% |
| AETNA | PPO | $600.60 | ↑ +216% |
| AETNA | HMO | $600.60 | ↑ +216% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +220% |
| HORIZON | SHP | $627.20 | ↑ +230% |
| HORIZON | HMO | $649.15 | ↑ +242% |
| HORIZON | INDEMNITY | $657.73 | ↑ +246% |
| HORIZON | PPO | $664.45 | ↑ +250% |
| AMERIHEALTH | REGIONAL HMO | $676.39 | ↑ +256% |
| AMERIHEALTH | LOCAL HMO | $676.39 | ↑ +256% |
| CIGNA | PPO | $688.26 | ↑ +263% |
| CIGNA | HMO | $688.26 | ↑ +263% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $96.29 | $23.40 – $374.56 |
| Cooperman Barnabas Medical Center | Livingston | $121.41 | $14.76 – $384.50 |
| Community Medical Center | Toms River | $106.39 | $14.76 – $372.69 |
| Clara Maass Medical Center | Belleville | $115.56 | $14.76 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $119.35 | $14.76 – $384.50 |
| Jersey City Medical Center | Jersey City | $106.60 | $14.76 – $401.58 |
| Monmouth Medical Center | Long Branch | $112.24 | $14.76 – $377.44 |
| Bayshore Medical Center | Holmdel | $189.67 | $80.20 – $306.15 |