Mnt subs tx for change dx at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$34.61
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.
$120.00
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.
$15.60 with HORIZON vs $792.00 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 | MANAGED MEDICAID | $15.60 | ↓ -55% |
| AETNA | MANAGED MEDICAID | $19.32 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20.63 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $21.60 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $25.80 | ↓ -25% |
| AMERIGROUP | MANAGED MEDICAID | $34.61 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $34.61 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $34.61 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.34 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $48.96 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $84.00 | ↑ +143% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $84.00 | ↑ +143% |
| INTERGROUP | SHARED SAVINGS | $84.00 | ↑ +143% |
| HORIZON | PIP | $87.72 | ↑ +153% |
| HORIZON | WORKERS COMP | $87.72 | ↑ +153% |
| HORIZON | OMNIA | $88.30 | ↑ +155% |
| BERGEN RISK | ALL PRODUCTS | $90.00 | ↑ +160% |
| PRIME HEALTH | WORKERS COMP | $96.00 | ↑ +177% |
| PRIME HEALTH | AUTO INSURANCE | $96.00 | ↑ +177% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $102.00 | ↑ +195% |
| HORIZON | SHP | $105.26 | ↑ +204% |
| AETNA | ASA | $107.60 | ↑ +211% |
| AETNA | PPO | $107.60 | ↑ +211% |
| AETNA | HMO | $107.60 | ↑ +211% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $108.00 | ↑ +212% |
| HORIZON | HMO | $108.95 | ↑ +215% |
| HORIZON | INDEMNITY | $110.39 | ↑ +219% |
| QUALCARE | HMO | $111.12 | ↑ +221% |
| QUALCARE | PPO | $111.12 | ↑ +221% |
| QUALCARE | WORKERS COMP | $111.12 | ↑ +221% |
| HORIZON | PPO | $111.52 | ↑ +222% |
| CIGNA | PPO | $115.51 | ↑ +234% |
| CIGNA | HMO | $115.51 | ↑ +234% |
| AMERIHEALTH | LOCAL HMO | $358.00 | ↑ +934% |
| AMERIHEALTH | REGIONAL HMO | $395.00 | ↑ +1041% |
| OXFORD | ALL PRODUCTS | $544.00 | ↑ +1472% |
| UNITED HEALTHCARE | HMO | $792.00 | ↑ +2188% |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $31.99 | $12.95 – $197.00 |
| Bayshore Medical Center | Holmdel | $34.61 | $34.61 – $465.00 |
| Hackensack University Medical Center | Hackensack | $34.61 | $27.69 – $1,496.00 |
| Ocean University Medical Center | Brick | $34.61 | $34.61 – $465.00 |
| Jersey Shore University Medical Center | Neptune City | $34.61 | $27.69 – $443.00 |
| Palisades Medical Center | North Bergen | $34.61 | $15.37 – $981.00 |
| Raritan Bay Medical Center | Perth Amboy | $34.61 | $19.50 – $308.00 |
| Riverview Medical Center | Red Bank | $34.61 | $34.61 – $465.00 |