Ins pm gen w/exist mlt leads at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$21,127.41
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.
$23,143.00
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 $70,789.00 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 | $303.12 | ↓ -99% |
| KARNA | MEDICARE ADVANTAGE | $748.11 | ↓ -96% |
| AETNA | MANAGED MEDICAID | $3,726.02 | ↓ -82% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,978.28 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $4,165.74 | ↓ -80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,975.75 | ↓ -76% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,045.17 | ↓ -76% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $11,571.50 | ↓ -45% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $13,885.80 | ↓ -34% |
| HORIZON | OMNIA | $14,094.09 | ↓ -33% |
| HORIZON | SHP | $14,094.09 | ↓ -33% |
| HORIZON | PPO | $14,094.09 | ↓ -33% |
| HORIZON | INDEMNITY | $14,094.09 | ↓ -33% |
| HORIZON | PIP | $14,094.09 | ↓ -33% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $15,042.95 | ↓ -29% |
| INTERGROUP | SHARED SAVINGS | $16,200.10 | ↓ -23% |
| INTERGROUP | WORKERS COMP | $16,200.10 | ↓ -23% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16,200.10 | ↓ -23% |
| BERGEN RISK | ALL PRODUCTS | $17,357.25 | ↓ -18% |
| PRIME HEALTH | AUTO INSURANCE | $18,514.40 | ↓ -12% |
| PRIME HEALTH | WORKERS COMP | $18,514.40 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $19,071.16 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $19,071.16 | ↓ -10% |
| VACCN | ALL PRODUCTS | $19,071.16 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $19,071.16 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $19,071.16 | ↓ -10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,671.55 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,024.72 | ↓ -5% |
| AETNA | ASA | $20,752.33 | ↓ -2% |
| AETNA | HMO | $20,752.33 | ↓ -2% |
| AETNA | PPO | $20,752.33 | ↓ -2% |
| QUALCARE | PPO | $21,430.42 | ↑ +1% |
| QUALCARE | WORKERS COMP | $21,430.42 | ↑ +1% |
| QUALCARE | HMO | $21,430.42 | ↑ +1% |
| AMERIHEALTH | REGIONAL HMO | $21,893.28 | ↑ +4% |
| AMERIHEALTH | LOCAL HMO | $21,893.28 | ↑ +4% |
| CIGNA | PPO | $22,277.45 | ↑ +5% |
| CIGNA | HMO | $22,277.45 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $70,207.00 | ↑ +232% |
| UNITED HEALTHCARE | HMO | $70,789.00 | ↑ +235% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $178.93 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $251.59 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $257.65 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $248.56 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $184.19 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $231.55 – $44,694.09 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $497.12 – $42,007.11 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |