Oth resp proc, indiv at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$27.13
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.
$182.00
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.
$16.44 with HORIZON vs $342.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $16.44 | ↓ -39% |
| KARNA | MEDICARE ADVANTAGE | $19.70 | ↓ -27% |
| WELLCARE | MANAGED MEDICAID | $24.49 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| VACCN | ALL PRODUCTS | $24.49 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $25.71 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.13 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $29.30 | ↑ +8% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $31.29 | ↑ +15% |
| CLOVER | MEDICARE ADVANTAGE | $32.76 | ↑ +21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $39.13 | ↑ +44% |
| INTERGROUP | WORKERS COMP | $127.40 | ↑ +370% |
| INTERGROUP | SHARED SAVINGS | $127.40 | ↑ +370% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $127.40 | ↑ +370% |
| HORIZON | PIP | $133.04 | ↑ +390% |
| HORIZON | WORKERS COMP | $133.04 | ↑ +390% |
| HORIZON | OMNIA | $133.92 | ↑ +394% |
| BERGEN RISK | ALL PRODUCTS | $136.50 | ↑ +403% |
| PRIME HEALTH | WORKERS COMP | $145.60 | ↑ +437% |
| PRIME HEALTH | AUTO INSURANCE | $145.60 | ↑ +437% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $154.70 | ↑ +470% |
| HORIZON | SHP | $159.65 | ↑ +488% |
| AETNA | ASA | $163.20 | ↑ +502% |
| AETNA | PPO | $163.20 | ↑ +502% |
| AETNA | HMO | $163.20 | ↑ +502% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $163.80 | ↑ +504% |
| HORIZON | HMO | $165.24 | ↑ +509% |
| HORIZON | INDEMNITY | $167.42 | ↑ +517% |
| QUALCARE | HMO | $168.53 | ↑ +521% |
| QUALCARE | PPO | $168.53 | ↑ +521% |
| QUALCARE | WORKERS COMP | $168.53 | ↑ +521% |
| HORIZON | PPO | $169.13 | ↑ +523% |
| AMERIHEALTH | REGIONAL HMO | $172.17 | ↑ +535% |
| AMERIHEALTH | LOCAL HMO | $172.17 | ↑ +535% |
| CIGNA | PPO | $175.19 | ↑ +546% |
| CIGNA | HMO | $175.19 | ↑ +546% |
| OXFORD | ALL PRODUCTS | $317.00 | ↑ +1068% |
| UNITED HEALTHCARE | HMO | $342.00 | ↑ +1161% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, indiv at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $47.46 | $27.48 – $54.96 |
| Clara Maass Medical Center | Belleville | $20.48 | $27.48 – $54.69 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $18.64 – $604.00 |
| Palisades Medical Center | North Bergen | $28.84 | $16.19 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $19.70 – $396.00 |
| Riverview Medical Center | Red Bank | $27.11 | $18.64 – $271.00 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $18.64 – $525.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $16.88 | $26.76 – $53.25 |