Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$11,593.70
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.
?
What you pay up front if you don't use insurance.
$35,616.00
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.
?
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
?
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 →
?
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 | ↓ -99% |
| HORIZON | HMO | $181.00 | ↓ -98% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -98% |
| HORIZON | MANAGED MEDICAID | $584.62 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $1,075.73 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $5,734.18 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,122.39 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $6,410.88 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,657.44 | ↓ -34% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7,764.29 | ↓ -33% |
| WELLCARE | MANAGED MEDICAID | $10,465.33 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $10,465.33 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $10,465.33 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $10,465.33 | ↓ -10% |
| VACCN | ALL PRODUCTS | $10,465.33 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10,988.60 | ↓ -5% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $17,808.00 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,369.60 | ↑ +84% |
| HORIZON | PIP | $21,690.14 | ↑ +87% |
| HORIZON | INDEMNITY | $21,690.14 | ↑ +87% |
| HORIZON | OMNIA | $21,690.14 | ↑ +87% |
| HORIZON | PPO | $21,690.14 | ↑ +87% |
| HORIZON | SHP | $21,690.14 | ↑ +87% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $23,150.40 | ↑ +100% |
| INTERGROUP | WORKERS COMP | $24,931.20 | ↑ +115% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $24,931.20 | ↑ +115% |
| INTERGROUP | SHARED SAVINGS | $24,931.20 | ↑ +115% |
| BERGEN RISK | ALL PRODUCTS | $26,712.00 | ↑ +130% |
| PRIME HEALTH | WORKERS COMP | $28,492.80 | ↑ +146% |
| PRIME HEALTH | AUTO INSURANCE | $28,492.80 | ↑ +146% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $30,273.60 | ↑ +161% |
| AETNA | PPO | $31,936.87 | ↑ +175% |
| AETNA | ASA | $31,936.87 | ↑ +175% |
| AETNA | HMO | $31,936.87 | ↑ +175% |
| QUALCARE | HMO | $32,980.42 | ↑ +184% |
| QUALCARE | PPO | $32,980.42 | ↑ +184% |
| QUALCARE | WORKERS COMP | $32,980.42 | ↑ +184% |
| AMERIHEALTH | REGIONAL HMO | $33,692.74 | ↑ +191% |
| AMERIHEALTH | LOCAL HMO | $33,692.74 | ↑ +191% |
| CIGNA | PPO | $34,283.96 | ↑ +196% |
| CIGNA | HMO | $34,283.96 | ↑ +196% |
| OXFORD | ALL PRODUCTS | $70,207.00 | ↑ +506% |
| UNITED HEALTHCARE | HMO | $70,789.00 | ↑ +511% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $257.81 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $485.23 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $496.93 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $479.39 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $265.39 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $333.63 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $958.78 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |