M/phmtrc alys ishquant/semiq at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$189.84
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.
$798.00
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.
$128.48 with AETNA vs $770.65 with KARNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $128.48 | ↓ -32% |
| HORIZON | MANAGED MEDICAID | $152.02 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $171.36 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| VACCN | ALL PRODUCTS | $171.36 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $171.36 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $171.57 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.93 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $325.17 | ↑ +71% |
| OXFORD | ALL PRODUCTS | $325.17 | ↑ +71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $400.60 | ↑ +111% |
| INTERGROUP | WORKERS COMP | $558.60 | ↑ +194% |
| INTERGROUP | SHARED SAVINGS | $558.60 | ↑ +194% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $558.60 | ↑ +194% |
| HORIZON | PIP | $583.34 | ↑ +207% |
| HORIZON | WORKERS COMP | $583.34 | ↑ +207% |
| HORIZON | OMNIA | $587.17 | ↑ +209% |
| BERGEN RISK | ALL PRODUCTS | $598.50 | ↑ +215% |
| QUALCARE | WORKERS COMP | $616.85 | ↑ +225% |
| QUALCARE | PPO | $616.85 | ↑ +225% |
| QUALCARE | HMO | $616.85 | ↑ +225% |
| PRIME HEALTH | AUTO INSURANCE | $638.40 | ↑ +236% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $638.40 | ↑ +236% |
| PRIME HEALTH | WORKERS COMP | $638.40 | ↑ +236% |
| AETNA | ASA | $670.32 | ↑ +253% |
| AETNA | PPO | $670.32 | ↑ +253% |
| AETNA | HMO | $670.32 | ↑ +253% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $678.30 | ↑ +257% |
| HORIZON | SHP | $700.01 | ↑ +269% |
| HORIZON | HMO | $724.50 | ↑ +282% |
| HORIZON | INDEMNITY | $734.08 | ↑ +287% |
| HORIZON | PPO | $741.58 | ↑ +291% |
| AMERIHEALTH | LOCAL HMO | $754.91 | ↑ +298% |
| AMERIHEALTH | REGIONAL HMO | $754.91 | ↑ +298% |
| CIGNA | HMO | $768.15 | ↑ +305% |
| CIGNA | PPO | $768.15 | ↑ +305% |
| KARNA | MEDICARE ADVANTAGE | $770.65 | ↑ +306% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $234.43 | $73.91 – $1,336.07 |
| Cooperman Barnabas Medical Center | Livingston | $153.20 | $73.91 – $1,336.07 |
| Community Medical Center | Toms River | $259.04 | $73.91 – $1,336.07 |
| Clara Maass Medical Center | Belleville | $162.50 | $73.91 – $1,336.07 |
| Newark Beth Israel Medical Center | Newark | $150.60 | $73.91 – $1,336.07 |
| Jersey City Medical Center | Jersey City | $259.54 | $73.91 – $1,336.07 |
| Monmouth Medical Center | Long Branch | $273.28 | $73.91 – $1,336.07 |
| Bayshore Medical Center | Holmdel | $189.67 | $189.67 – $306.15 |