Perq transcath cls mitral at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$19,892.81
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.
$32,701.00
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.
$1,681.30 with HORIZON vs $40,313.00 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 | $1,681.30 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $1,765.07 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $5,264.86 | ↓ -74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,621.30 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $5,886.18 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,030.72 | ↓ -65% |
| HORIZON | OMNIA | $7,564.00 | ↓ -62% |
| HORIZON | WORKERS COMP | $8,173.00 | ↓ -59% |
| HORIZON | PIP | $8,615.00 | ↓ -57% |
| HORIZON | SHP | $8,665.00 | ↓ -56% |
| HORIZON | HMO | $9,360.00 | ↓ -53% |
| HORIZON | INDEMNITY | $9,469.00 | ↓ -52% |
| HORIZON | PPO | $9,581.00 | ↓ -52% |
| AETNA | HMO | $9,605.00 | ↓ -52% |
| AETNA | ASA | $9,605.00 | ↓ -52% |
| AETNA | PPO | $9,605.00 | ↓ -52% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -40% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -22% |
| CIGNA | HMO | $17,039.00 | ↓ -14% |
| HORIZON | MEDICARE ADVANTAGE | $17,956.72 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $17,956.72 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $17,956.72 | ↓ -10% |
| VACCN | ALL PRODUCTS | $17,956.72 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $17,956.72 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $17,956.72 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18,854.56 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,892.81 | ↑ +0% |
| INTERGROUP | SHARED SAVINGS | $22,890.70 | ↑ +15% |
| INTERGROUP | WORKERS COMP | $22,890.70 | ↑ +15% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $22,890.70 | ↑ +15% |
| CIGNA | PPO | $22,953.00 | ↑ +15% |
| PRIME HEALTH | AUTO INSURANCE | $26,160.80 | ↑ +32% |
| PRIME HEALTH | WORKERS COMP | $26,160.80 | ↑ +32% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $27,795.85 | ↑ +40% |
| QUALCARE | WORKERS COMP | $30,281.13 | ↑ +52% |
| QUALCARE | PPO | $30,281.13 | ↑ +52% |
| QUALCARE | HMO | $30,281.13 | ↑ +52% |
| AMERIHEALTH | REGIONAL HMO | $30,935.15 | ↑ +56% |
| AMERIHEALTH | LOCAL HMO | $30,935.15 | ↑ +56% |
| OXFORD | ALL PRODUCTS | $32,262.00 | ↑ +62% |
| UNITED HEALTHCARE | HMO | $40,313.00 | ↑ +103% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Perq transcath cls mitral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $8,516.55 | $540.89 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $7,142.91 | $679.97 – $42,082.35 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $1,765.07 – $22,204.26 |
| Ocean University Medical Center | Brick | $19,624.54 | $1,717.01 – $23,549.45 |
| Jersey Shore University Medical Center | Neptune City | $19,875.58 | $1,717.01 – $23,850.69 |
| Palisades Medical Center | North Bergen | $21,146.91 | $1,656.08 – $23,050.13 |
| Raritan Bay Medical Center | Perth Amboy | $19,892.81 | $1,765.07 – $23,871.38 |