Optx prx hmrl fx fix rpr rpl at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$20,372.87
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.
not published by hospital
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.
$1,552.00 with HORIZON vs $31,883.09 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,552.00 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $2,656.41 | ↓ -87% |
| HORIZON | MEDICARE ADVANTAGE | $18,390.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $18,390.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $18,390.05 | ↓ -10% |
| VACCN | ALL PRODUCTS | $18,390.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $18,390.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $18,390.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $19,309.55 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $20,372.87 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $31,883.09 | ↑ +56% |
Visitor-reported prices
Comments
Optx prx hmrl fx fix rpr rpl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $633.45 – $40,196.24 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,288.16 – $41,264.32 |
| Community Medical Center | Toms River | $3,786.00 | $1,319.20 – $39,995.26 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,272.64 – $41,058.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $652.08 – $41,264.32 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $819.76 – $43,097.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $2,545.28 – $40,506.87 |
| Bayshore Medical Center | Holmdel | $20,355.21 | $20,355.21 – $24,426.25 |