Ins icd gen exist sgl lead at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$24,866.34
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.
$55,935.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $152,062.00 with UNITED HEALTHCARE — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -100% |
| HORIZON | HMO | $181.00 | ↓ -99% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -99% |
| HORIZON | MANAGED MEDICAID | $544.60 | ↓ -98% |
| KARNA | MEDICARE ADVANTAGE | $769.83 | ↓ -97% |
| AETNA | MANAGED MEDICAID | $9,005.54 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9,615.23 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $10,068.30 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12,026.03 | ↓ -52% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12,193.83 | ↓ -51% |
| WELLCARE | MANAGED MEDICAID | $22,446.19 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $22,446.19 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $22,446.19 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $22,446.19 | ↓ -10% |
| VACCN | ALL PRODUCTS | $22,446.19 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $23,568.50 | ↓ -5% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $27,967.50 | ↑ +12% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $33,561.00 | ↑ +35% |
| HORIZON | PIP | $34,064.42 | ↑ +37% |
| HORIZON | INDEMNITY | $34,064.42 | ↑ +37% |
| HORIZON | OMNIA | $34,064.42 | ↑ +37% |
| HORIZON | PPO | $34,064.42 | ↑ +37% |
| HORIZON | SHP | $34,064.42 | ↑ +37% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $36,357.75 | ↑ +46% |
| INTERGROUP | WORKERS COMP | $39,154.50 | ↑ +57% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $39,154.50 | ↑ +57% |
| INTERGROUP | SHARED SAVINGS | $39,154.50 | ↑ +57% |
| BERGEN RISK | ALL PRODUCTS | $41,951.25 | ↑ +69% |
| PRIME HEALTH | WORKERS COMP | $44,748.00 | ↑ +80% |
| PRIME HEALTH | AUTO INSURANCE | $44,748.00 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $47,544.75 | ↑ +91% |
| AETNA | PPO | $50,156.91 | ↑ +102% |
| AETNA | ASA | $50,156.91 | ↑ +102% |
| AETNA | HMO | $50,156.91 | ↑ +102% |
| QUALCARE | HMO | $51,795.81 | ↑ +108% |
| QUALCARE | PPO | $51,795.81 | ↑ +108% |
| QUALCARE | WORKERS COMP | $51,795.81 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $52,914.51 | ↑ +113% |
| AMERIHEALTH | LOCAL HMO | $52,914.51 | ↑ +113% |
| CIGNA | PPO | $53,843.03 | ↑ +117% |
| CIGNA | HMO | $53,843.03 | ↑ +117% |
| OXFORD | ALL PRODUCTS | $150,711.00 | ↑ +506% |
| UNITED HEALTHCARE | HMO | $152,062.00 | ↑ +512% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $184.23 – $49,061.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $25,182.83 – $50,365.66 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $189.65 – $50,365.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $238.42 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Bayshore Medical Center | Holmdel | $24,844.79 | $24,844.79 – $29,813.75 |