Immunoassay tumor antigen quantitative ca 125 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$20.81
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.
$330.00
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.
$20.81 with WELLCARE vs $140.95 with AMERIHEALTH — 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $20.81 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $20.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $20.81 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $20.81 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $20.81 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $20.81 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $20.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $20.81 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $20.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $21.85 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $23.99 | ↑ +15% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $25.30 | ↑ +22% |
| KARNA | MEDICARE ADVANTAGE | $27.68 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $28.38 | ↑ +36% |
| UNITED HEALTHCARE | HMO | $45.37 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $45.37 | ↑ +118% |
| CIGNA | HMO | $97.94 | ↑ +371% |
| CIGNA | PPO | $97.94 | ↑ +371% |
| INTERGROUP | SHARED SAVINGS | $104.30 | ↑ +401% |
| INTERGROUP | WORKERS COMP | $104.30 | ↑ +401% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $104.30 | ↑ +401% |
| HORIZON | PIP | $108.92 | ↑ +423% |
| HORIZON | WORKERS COMP | $108.92 | ↑ +423% |
| HORIZON | OMNIA | $109.63 | ↑ +427% |
| BERGEN RISK | ALL PRODUCTS | $111.75 | ↑ +437% |
| QUALCARE | HMO | $115.18 | ↑ +453% |
| QUALCARE | WORKERS COMP | $115.18 | ↑ +453% |
| QUALCARE | PPO | $115.18 | ↑ +453% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $119.20 | ↑ +473% |
| PRIME HEALTH | AUTO INSURANCE | $119.20 | ↑ +473% |
| PRIME HEALTH | WORKERS COMP | $119.20 | ↑ +473% |
| AETNA | ASA | $125.16 | ↑ +501% |
| AETNA | PPO | $125.16 | ↑ +501% |
| AETNA | HMO | $125.16 | ↑ +501% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $126.65 | ↑ +509% |
| HORIZON | SHP | $130.70 | ↑ +528% |
| HORIZON | HMO | $135.28 | ↑ +550% |
| HORIZON | INDEMNITY | $137.07 | ↑ +559% |
| HORIZON | PPO | $138.47 | ↑ +565% |
| AMERIHEALTH | LOCAL HMO | $140.95 | ↑ +577% |
| AMERIHEALTH | REGIONAL HMO | $140.95 | ↑ +577% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $22.89 | $9.78 – $99.21 |
| Cooperman Barnabas Medical Center | Livingston | $22.89 | $9.78 – $85.45 |
| Community Medical Center | Toms River | $22.89 | $9.78 – $85.45 |
| Clara Maass Medical Center | Belleville | $22.89 | $9.78 – $85.45 |
| Newark Beth Israel Medical Center | Newark | $22.89 | $9.78 – $85.45 |
| Jersey City Medical Center | Jersey City | $22.89 | $9.78 – $85.45 |
| Monmouth Medical Center | Long Branch | $22.89 | $9.78 – $85.45 |
| Bayshore Medical Center | Holmdel | $20.81 | $20.81 – $95.36 |