Observation direct referral from physician office for admission at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$679.20
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.
$1,575.00
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.
$253.58 with AETNA vs $15,558.00 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 | $253.58 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $270.74 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $283.50 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $338.63 | ↓ -50% |
| HORIZON | MANAGED MEDICAID | $579.00 | ↓ -15% |
| AMERIGROUP | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $613.10 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $613.10 | ↓ -10% |
| VACCN | ALL PRODUCTS | $613.10 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $643.76 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $679.20 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $1,102.50 | ↑ +62% |
| INTERGROUP | WORKERS COMP | $1,102.50 | ↑ +62% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,102.50 | ↑ +62% |
| HORIZON | WORKERS COMP | $1,151.33 | ↑ +70% |
| HORIZON | PIP | $1,151.33 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $1,181.25 | ↑ +74% |
| PRIME HEALTH | WORKERS COMP | $1,260.00 | ↑ +86% |
| PRIME HEALTH | AUTO INSURANCE | $1,260.00 | ↑ +86% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,338.75 | ↑ +97% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,417.50 | ↑ +109% |
| CIGNA | PPO | $1,516.10 | ↑ +123% |
| QUALCARE | WORKERS COMP | $5,179.00 | ↑ +663% |
| QUALCARE | PPO | $5,277.00 | ↑ +677% |
| QUALCARE | HMO | $5,277.00 | ↑ +677% |
| AMERIHEALTH | LOCAL HMO | $6,866.00 | ↑ +911% |
| HORIZON | OMNIA | $7,292.00 | ↑ +974% |
| AMERIHEALTH | REGIONAL HMO | $7,628.00 | ↑ +1023% |
| HORIZON | SHP | $8,353.00 | ↑ +1130% |
| HORIZON | HMO | $9,023.00 | ↑ +1228% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +1244% |
| HORIZON | PPO | $9,236.00 | ↑ +1260% |
| CIGNA | HMO | $9,975.00 | ↑ +1369% |
| OXFORD | ALL PRODUCTS | $11,172.00 | ↑ +1545% |
| AETNA | PPO | $11,651.00 | ↑ +1615% |
| AETNA | HMO | $11,651.00 | ↑ +1615% |
| AETNA | ASA | $11,651.00 | ↑ +1615% |
| UNITED HEALTHCARE | HMO | $15,558.00 | ↑ +2191% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $670.04 – $8,116.00 |
| Cooperman Barnabas Medical Center | Livingston | $370.82 | $687.85 – $8,203.00 |
| Community Medical Center | Toms River | $362.95 | $670.04 – $7,757.00 |
| Clara Maass Medical Center | Belleville | $348.07 | $687.85 – $4,982.00 |
| Newark Beth Israel Medical Center | Newark | $364.52 | $687.85 – $6,387.00 |
| Jersey City Medical Center | Jersey City | $363.65 | $722.02 – $5,761.00 |
| Monmouth Medical Center | Long Branch | $382.90 | $678.62 – $7,121.00 |
| Jersey Shore University Medical Center | Neptune City | $678.62 | $318.00 – $3,820.00 |