Nasal/sinus maxillary endoscopy dx 31233 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$430.18
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.
$935.00
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.
$150.54 with AETNA vs $10,163.00 with BRIGHTON HEALTH PLAN — 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 | $150.54 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.73 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $168.30 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $172.00 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $192.61 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $201.03 | ↓ -53% |
| AMERIGROUP | MEDICARE ADVANTAGE | $244.97 | ↓ -43% |
| KARNA | MEDICARE ADVANTAGE | $288.75 | ↓ -33% |
| VACCN | ALL PRODUCTS | $388.31 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $388.31 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $388.31 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $388.31 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $407.73 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $430.18 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $654.50 | ↑ +52% |
| INTERGROUP | SHARED SAVINGS | $654.50 | ↑ +52% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $654.50 | ↑ +52% |
| HORIZON | OMNIA | $687.97 | ↑ +60% |
| BERGEN RISK | ALL PRODUCTS | $701.25 | ↑ +63% |
| PRIME HEALTH | WORKERS COMP | $748.00 | ↑ +74% |
| PRIME HEALTH | AUTO INSURANCE | $748.00 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $794.75 | ↑ +85% |
| BRIGHTON HEALTH PLAN | PNO | $800.06 | ↑ +86% |
| HORIZON | SHP | $820.18 | ↑ +91% |
| CIGNA | PPO | $846.08 | ↑ +97% |
| CIGNA | HMO | $846.08 | ↑ +97% |
| HORIZON | HMO | $848.89 | ↑ +97% |
| HORIZON | INDEMNITY | $860.11 | ↑ +100% |
| QUALCARE | WORKERS COMP | $865.81 | ↑ +101% |
| QUALCARE | PPO | $865.81 | ↑ +101% |
| QUALCARE | HMO | $865.81 | ↑ +101% |
| HORIZON | PPO | $868.90 | ↑ +102% |
| AMERIHEALTH | REGIONAL HMO | $884.51 | ↑ +106% |
| AMERIHEALTH | LOCAL HMO | $884.51 | ↑ +106% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +588% |
| AETNA | ASA | $3,662.00 | ↑ +751% |
| AETNA | PPO | $3,662.00 | ↑ +751% |
| AETNA | HMO | $3,662.00 | ↑ +751% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +752% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1800% |
| HORIZON | PIP | $8,615.00 | ↑ +1903% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2262% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus maxillary endoscopy dx 31233 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $142.36 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $142.76 – $871.30 |
| Community Medical Center | Toms River | $3,786.00 | $146.20 – $844.52 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $141.04 – $866.94 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $146.55 – $871.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $154.80 – $910.03 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $282.08 – $855.30 |
| Bayshore Medical Center | Holmdel | $429.80 | $429.80 – $515.77 |