Nm radiopharmaceutical therapy oral administration at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$248.30
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.
$2,585.00
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.
$206.09 with CIGNA vs $2,402.24 with HORIZON — 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 |
|---|---|---|---|
| CIGNA | HMO | $206.09 | ↓ -17% |
| CIGNA | PPO | $206.09 | ↓ -17% |
| WELLCARE | MEDICARE ADVANTAGE | $224.13 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $224.13 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $224.13 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $224.13 | ↓ -10% |
| VACCN | ALL PRODUCTS | $224.13 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $224.13 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $235.34 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $248.30 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $251.93 | ↑ +1% |
| AMERIHEALTH | REGIONAL HMO | $391.30 | ↑ +58% |
| AETNA | MANAGED MEDICAID | $416.19 | ↑ +68% |
| AMERIHEALTH | LOCAL HMO | $433.18 | ↑ +74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $444.36 | ↑ +79% |
| CLOVER | MEDICARE ADVANTAGE | $465.30 | ↑ +87% |
| HORIZON | MANAGED MEDICAID | $492.44 | ↑ +98% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $555.78 | ↑ +124% |
| UNITED HEALTHCARE | HMO | $715.79 | ↑ +188% |
| OXFORD | ALL PRODUCTS | $715.79 | ↑ +188% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,370.05 | ↑ +452% |
| INTERGROUP | WORKERS COMP | $1,809.50 | ↑ +629% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,809.50 | ↑ +629% |
| INTERGROUP | SHARED SAVINGS | $1,809.50 | ↑ +629% |
| HORIZON | PIP | $1,889.64 | ↑ +661% |
| HORIZON | WORKERS COMP | $1,889.64 | ↑ +661% |
| HORIZON | OMNIA | $1,902.04 | ↑ +666% |
| BERGEN RISK | ALL PRODUCTS | $1,938.75 | ↑ +681% |
| QUALCARE | PPO | $1,998.21 | ↑ +705% |
| QUALCARE | WORKERS COMP | $1,998.21 | ↑ +705% |
| QUALCARE | HMO | $1,998.21 | ↑ +705% |
| PRIME HEALTH | AUTO INSURANCE | $2,068.00 | ↑ +733% |
| PRIME HEALTH | WORKERS COMP | $2,068.00 | ↑ +733% |
| AETNA | HMO | $2,171.40 | ↑ +775% |
| AETNA | ASA | $2,171.40 | ↑ +775% |
| AETNA | PPO | $2,171.40 | ↑ +775% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,197.25 | ↑ +785% |
| HORIZON | SHP | $2,267.56 | ↑ +813% |
| HORIZON | HMO | $2,346.92 | ↑ +845% |
| HORIZON | INDEMNITY | $2,377.94 | ↑ +858% |
| HORIZON | PPO | $2,402.24 | ↑ +867% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $625.79 | $68.48 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $604.97 | $144.33 – $828.00 |
| Community Medical Center | Toms River | $691.47 | $132.48 – $828.00 |
| Clara Maass Medical Center | Belleville | $353.84 | $144.33 – $828.00 |
| Newark Beth Israel Medical Center | Newark | $594.69 | $70.50 – $828.00 |
| Jersey City Medical Center | Jersey City | $692.80 | $88.62 – $805.00 |
| Monmouth Medical Center | Long Branch | $729.47 | $136.36 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $139.43 – $675.85 |