Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$225.32
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.
$784.00
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.
$91.58 with KARNA vs $754.68 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $91.58 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $126.22 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $134.77 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $141.12 | ↓ -37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $168.56 | ↓ -25% |
| HORIZON | MANAGED MEDICAID | $198.00 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $203.39 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $203.39 | ↓ -10% |
| VACCN | ALL PRODUCTS | $203.39 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $213.56 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $225.32 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $317.00 | ↑ +41% |
| UNITED HEALTHCARE | HMO | $342.00 | ↑ +52% |
| INTERGROUP | SHARED SAVINGS | $548.80 | ↑ +144% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $548.80 | ↑ +144% |
| INTERGROUP | WORKERS COMP | $548.80 | ↑ +144% |
| HORIZON | PIP | $573.10 | ↑ +154% |
| HORIZON | WORKERS COMP | $573.10 | ↑ +154% |
| HORIZON | OMNIA | $576.87 | ↑ +156% |
| BERGEN RISK | ALL PRODUCTS | $588.00 | ↑ +161% |
| PRIME HEALTH | WORKERS COMP | $627.20 | ↑ +178% |
| PRIME HEALTH | AUTO INSURANCE | $627.20 | ↑ +178% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $666.40 | ↑ +196% |
| HORIZON | SHP | $687.72 | ↑ +205% |
| AETNA | ASA | $703.01 | ↑ +212% |
| AETNA | PPO | $703.01 | ↑ +212% |
| AETNA | HMO | $703.01 | ↑ +212% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $705.60 | ↑ +213% |
| HORIZON | HMO | $711.79 | ↑ +216% |
| HORIZON | INDEMNITY | $721.20 | ↑ +220% |
| QUALCARE | PPO | $725.98 | ↑ +222% |
| QUALCARE | HMO | $725.98 | ↑ +222% |
| QUALCARE | WORKERS COMP | $725.98 | ↑ +222% |
| HORIZON | PPO | $728.57 | ↑ +223% |
| AMERIHEALTH | REGIONAL HMO | $741.66 | ↑ +229% |
| AMERIHEALTH | LOCAL HMO | $741.66 | ↑ +229% |
| CIGNA | PPO | $754.68 | ↑ +235% |
| CIGNA | HMO | $754.68 | ↑ +235% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $30.60 – $444.56 |
| Cooperman Barnabas Medical Center | Livingston | $139.64 | $164.34 – $456.38 |
| Clara Maass Medical Center | Belleville | $62.25 | $162.36 – $454.10 |
| Monmouth Medical Center | Long Branch | $88.83 | $225.12 – $447.99 |
| Bayshore Medical Center | Holmdel | $225.12 | $225.12 – $770.00 |
| Hackensack University Medical Center | Hackensack | $239.52 | $91.58 – $794.00 |
| Ocean University Medical Center | Brick | $222.28 | $89.68 – $317.00 |
| Jersey Shore University Medical Center | Neptune City | $225.12 | $89.68 – $604.00 |