Immune complex assay at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$24.37
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.
$651.00
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.
$14.17 with AETNA vs $114.69 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $14.17 | ↓ -42% |
| HORIZON | MANAGED MEDICAID | $16.76 | ↓ -31% |
| WELLCARE | MANAGED MEDICAID | $24.37 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $24.37 | ↑ +0% |
| VACCN | ALL PRODUCTS | $24.37 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $24.37 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $24.37 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $24.37 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $24.37 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24.37 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $24.37 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $24.37 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $25.59 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $32.41 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.30 | ↑ +49% |
| UNITED HEALTHCARE | HMO | $53.13 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $53.13 | ↑ +118% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $61.60 | ↑ +153% |
| INTERGROUP | SHARED SAVINGS | $61.60 | ↑ +153% |
| INTERGROUP | WORKERS COMP | $61.60 | ↑ +153% |
| HORIZON | WORKERS COMP | $64.33 | ↑ +164% |
| HORIZON | PIP | $64.33 | ↑ +164% |
| HORIZON | OMNIA | $64.75 | ↑ +166% |
| BERGEN RISK | ALL PRODUCTS | $66.00 | ↑ +171% |
| QUALCARE | WORKERS COMP | $68.02 | ↑ +179% |
| QUALCARE | PPO | $68.02 | ↑ +179% |
| QUALCARE | HMO | $68.02 | ↑ +179% |
| PRIME HEALTH | AUTO INSURANCE | $70.40 | ↑ +189% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $70.40 | ↑ +189% |
| PRIME HEALTH | WORKERS COMP | $70.40 | ↑ +189% |
| AETNA | ASA | $73.92 | ↑ +203% |
| AETNA | PPO | $73.92 | ↑ +203% |
| AETNA | HMO | $73.92 | ↑ +203% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $74.80 | ↑ +207% |
| HORIZON | SHP | $77.19 | ↑ +217% |
| HORIZON | HMO | $79.90 | ↑ +228% |
| HORIZON | INDEMNITY | $80.95 | ↑ +232% |
| HORIZON | PPO | $81.78 | ↑ +236% |
| AMERIHEALTH | REGIONAL HMO | $83.25 | ↑ +242% |
| AMERIHEALTH | LOCAL HMO | $83.25 | ↑ +242% |
| CIGNA | HMO | $114.69 | ↑ +371% |
| CIGNA | PPO | $114.69 | ↑ +371% |
Visitor-reported prices
Comments
Immune complex assay at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $26.81 | $11.45 – $115.65 |
| Cooperman Barnabas Medical Center | Livingston | $26.81 | $11.45 – $98.81 |
| Community Medical Center | Toms River | $26.81 | $11.45 – $98.81 |
| Clara Maass Medical Center | Belleville | $26.81 | $11.45 – $98.81 |
| Newark Beth Israel Medical Center | Newark | $26.81 | $11.45 – $98.81 |
| Jersey City Medical Center | Jersey City | $26.81 | $11.45 – $98.81 |
| Monmouth Medical Center | Long Branch | $26.81 | $11.45 – $98.81 |
| Bayshore Medical Center | Holmdel | $24.37 | $24.37 – $111.67 |