New Patient Office Visit (level 4) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
not published by hospital
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.
$2,057.00
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.
$95.55 with HORIZON vs $1,980.07 with CIGNA — 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 | BH | $95.55 | — |
| AETNA | MANAGED MEDICAID | $106.26 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $113.45 | — |
| CLOVER | MEDICARE ADVANTAGE | $118.80 | — |
| AETNA | MEDICARE ADVANTAGE | $135.96 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $141.90 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $172.92 | — |
| KARNA | MEDICARE ADVANTAGE | $224.92 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $331.98 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $368.94 | — |
| INTERGROUP | WORKERS COMP | $462.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $462.00 | — |
| INTERGROUP | SHARED SAVINGS | $462.00 | — |
| HORIZON | WORKERS COMP | $482.46 | — |
| HORIZON | PIP | $482.46 | — |
| HORIZON | OMNIA | $485.63 | — |
| BERGEN RISK | ALL PRODUCTS | $495.00 | — |
| PRIME HEALTH | WORKERS COMP | $528.00 | — |
| PRIME HEALTH | AUTO INSURANCE | $528.00 | — |
| OXFORD | ALL PRODUCTS | $546.35 | — |
| UNITED HEALTHCARE | HMO | $548.79 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $561.00 | — |
| HORIZON | SHP | $578.95 | — |
| AETNA | ASA | $591.82 | — |
| AETNA | HMO | $591.82 | — |
| AETNA | PPO | $591.82 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $594.00 | — |
| HORIZON | HMO | $599.21 | — |
| HORIZON | INDEMNITY | $607.13 | — |
| QUALCARE | PPO | $611.16 | — |
| QUALCARE | WORKERS COMP | $611.16 | — |
| QUALCARE | HMO | $611.16 | — |
| HORIZON | PPO | $613.34 | — |
| AMERIHEALTH | REGIONAL HMO | $624.36 | — |
| AMERIHEALTH | LOCAL HMO | $624.36 | — |
| CIGNA | PPO | $1,980.07 | — |
| CIGNA | HMO | $1,980.07 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $130.82 | $88.72 – $95.55 |
| Cooperman Barnabas Medical Center | Livingston | $147.69 | $95.55 – $95.55 |
| Community Medical Center | Toms River | $144.55 | $95.55 – $95.55 |
| Clara Maass Medical Center | Belleville | $138.63 | $95.55 – $95.55 |
| Childrens Specialized Hospital | Mountainside | $413.50 | $261.30 – $261.30 |
| Newark Beth Israel Medical Center | Newark | $145.18 | $91.33 – $95.55 |
| Jersey City Medical Center | Jersey City | $144.83 | $95.55 – $114.81 |
| Monmouth Medical Center | Long Branch | $152.50 | $95.55 – $95.55 |