Opscpy extnd on/mac draw at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$65.80
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.
$152.00
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.
$24.47 with AETNA vs $2,437.00 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 | $24.47 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.13 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $27.36 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $32.68 | ↓ -50% |
| AMERIGROUP | MEDICARE ADVANTAGE | $33.14 | ↓ -50% |
| AMERIHEALTH | REGIONAL HMO | $46.19 | ↓ -30% |
| AMERIHEALTH | LOCAL HMO | $51.13 | ↓ -22% |
| HORIZON | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $59.40 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $59.40 | ↓ -10% |
| VACCN | ALL PRODUCTS | $59.40 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.37 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.80 | ↑ +0% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $76.00 | ↑ +16% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $91.20 | ↑ +39% |
| HORIZON | OMNIA | $92.57 | ↑ +41% |
| HORIZON | SHP | $92.57 | ↑ +41% |
| HORIZON | INDEMNITY | $92.57 | ↑ +41% |
| HORIZON | PPO | $92.57 | ↑ +41% |
| HORIZON | PIP | $92.57 | ↑ +41% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $98.80 | ↑ +50% |
| INTERGROUP | SHARED SAVINGS | $106.40 | ↑ +62% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $106.40 | ↑ +62% |
| INTERGROUP | WORKERS COMP | $106.40 | ↑ +62% |
| HORIZON | WORKERS COMP | $111.11 | ↑ +69% |
| BERGEN RISK | ALL PRODUCTS | $114.00 | ↑ +73% |
| PRIME HEALTH | WORKERS COMP | $121.60 | ↑ +85% |
| PRIME HEALTH | AUTO INSURANCE | $121.60 | ↑ +85% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $129.20 | ↑ +96% |
| AETNA | PPO | $136.30 | ↑ +107% |
| AETNA | HMO | $136.30 | ↑ +107% |
| AETNA | ASA | $136.30 | ↑ +107% |
| HORIZON | HMO | $138.00 | ↑ +110% |
| QUALCARE | PPO | $140.75 | ↑ +114% |
| QUALCARE | HMO | $140.75 | ↑ +114% |
| QUALCARE | WORKERS COMP | $140.75 | ↑ +114% |
| CIGNA | PPO | $146.32 | ↑ +122% |
| CIGNA | HMO | $146.32 | ↑ +122% |
| HORIZON | MANAGED MEDICAID | $1,124.00 | ↑ +1608% |
| OXFORD | ALL PRODUCTS | $2,045.00 | ↑ +3008% |
| UNITED HEALTHCARE | HMO | $2,437.00 | ↑ +3604% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Opscpy extnd on/mac draw at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $51.65 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $51.78 – $4,994.00 |
| Ocean University Medical Center | Brick | $64.92 | $51.65 – $2,080.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $50.76 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $17.61 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $22.35 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $51.65 – $78.90 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $51.65 – $77.90 |