Manipulation chest wall demonstration/evaluation subsequent at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$142.80
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.
$287.00
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.
$46.21 with AETNA vs $342.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $46.21 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $49.34 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $51.66 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $61.71 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $71.48 | ↓ -50% |
| HORIZON | MANAGED MEDICAID | $84.00 | ↓ -41% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.80 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $200.90 | ↑ +41% |
| INTERGROUP | SHARED SAVINGS | $200.90 | ↑ +41% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $200.90 | ↑ +41% |
| HORIZON | PIP | $209.80 | ↑ +47% |
| HORIZON | WORKERS COMP | $209.80 | ↑ +47% |
| HORIZON | OMNIA | $211.17 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $215.25 | ↑ +51% |
| PRIME HEALTH | WORKERS COMP | $229.60 | ↑ +61% |
| PRIME HEALTH | AUTO INSURANCE | $229.60 | ↑ +61% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $243.95 | ↑ +71% |
| HORIZON | SHP | $251.76 | ↑ +76% |
| AETNA | ASA | $257.35 | ↑ +80% |
| AETNA | PPO | $257.35 | ↑ +80% |
| AETNA | HMO | $257.35 | ↑ +80% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $258.30 | ↑ +81% |
| HORIZON | HMO | $260.57 | ↑ +82% |
| HORIZON | INDEMNITY | $264.01 | ↑ +85% |
| QUALCARE | HMO | $265.76 | ↑ +86% |
| QUALCARE | PPO | $265.76 | ↑ +86% |
| QUALCARE | WORKERS COMP | $265.76 | ↑ +86% |
| HORIZON | PPO | $266.71 | ↑ +87% |
| AMERIHEALTH | REGIONAL HMO | $271.50 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $271.50 | ↑ +90% |
| CIGNA | PPO | $276.27 | ↑ +93% |
| CIGNA | HMO | $276.27 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $317.00 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $342.00 | ↑ +139% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $40.54 | $99.72 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $65.47 | $69.72 – $289.24 |
| Community Medical Center | Toms River | $44.79 | $71.40 – $280.33 |
| Clara Maass Medical Center | Belleville | $40.97 | $68.88 – $287.79 |
| Childrens Specialized Hospital | Mountainside | $56.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $64.36 | $126.42 – $289.24 |
| Jersey City Medical Center | Jersey City | $44.88 | $75.60 – $302.08 |
| Monmouth Medical Center | Long Branch | $47.26 | $137.76 – $283.91 |