Injection(s) tendon sheath/ligament aponeurosis single (both sides) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$327.02
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.
$770.00
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.
$63.82 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $63.82 | ↓ -80% |
| KARNA | MEDICARE ADVANTAGE | $81.54 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $123.97 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $132.36 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $138.60 | ↓ -58% |
| AETNA | MEDICARE ADVANTAGE | $158.62 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $165.55 | ↓ -49% |
| AMERIGROUP | MEDICARE ADVANTAGE | $201.74 | ↓ -38% |
| HORIZON | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| VACCN | ALL PRODUCTS | $295.19 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $295.19 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $309.95 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $327.02 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $512.28 | ↑ +57% |
| INTERGROUP | WORKERS COMP | $539.00 | ↑ +65% |
| INTERGROUP | SHARED SAVINGS | $539.00 | ↑ +65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $539.00 | ↑ +65% |
| HORIZON | OMNIA | $566.57 | ↑ +73% |
| BERGEN RISK | ALL PRODUCTS | $577.50 | ↑ +77% |
| PRIME HEALTH | WORKERS COMP | $616.00 | ↑ +88% |
| PRIME HEALTH | AUTO INSURANCE | $616.00 | ↑ +88% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $654.50 | ↑ +100% |
| HORIZON | SHP | $675.44 | ↑ +107% |
| CIGNA | HMO | $696.77 | ↑ +113% |
| CIGNA | PPO | $696.77 | ↑ +113% |
| HORIZON | HMO | $699.08 | ↑ +114% |
| HORIZON | INDEMNITY | $708.32 | ↑ +117% |
| QUALCARE | WORKERS COMP | $713.02 | ↑ +118% |
| QUALCARE | HMO | $713.02 | ↑ +118% |
| QUALCARE | PPO | $713.02 | ↑ +118% |
| HORIZON | PPO | $715.56 | ↑ +119% |
| AMERIHEALTH | LOCAL HMO | $728.42 | ↑ +123% |
| AMERIHEALTH | REGIONAL HMO | $728.42 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +805% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1021% |
| AETNA | ASA | $4,025.00 | ↑ +1131% |
| AETNA | PPO | $4,025.00 | ↑ +1131% |
| AETNA | HMO | $4,025.00 | ↑ +1131% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2399% |
| HORIZON | PIP | $8,615.00 | ↑ +2534% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +3008% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) tendon sheath/ligament aponeurosis single (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $54.25 – $641.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $52.33 – $659.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $30.59 – $662.36 |
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |
| Hackensack University Medical Center | Hackensack | $347.63 | $81.54 – $365.02 |
| Ocean University Medical Center | Brick | $322.61 | $79.39 – $512.28 |
| Jersey Shore University Medical Center | Neptune City | $326.73 | $79.39 – $392.08 |
| Palisades Medical Center | North Bergen | $347.63 | $62.86 – $378.92 |