Place device/marker, non pro at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,515.79
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.
$5,371.00
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.
$864.73 with AETNA vs $10,692.00 with AETNA — 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 | $864.73 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $923.27 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $966.78 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,154.77 | ↓ -24% |
| AETNA | MEDICARE ADVANTAGE | $1,368.26 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,368.26 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $1,368.26 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,368.26 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,368.26 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,368.26 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,436.67 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,515.79 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +30% |
| INTERGROUP | WORKERS COMP | $3,759.70 | ↑ +148% |
| INTERGROUP | SHARED SAVINGS | $3,759.70 | ↑ +148% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,759.70 | ↑ +148% |
| HORIZON | OMNIA | $3,951.98 | ↑ +161% |
| BERGEN RISK | ALL PRODUCTS | $4,028.25 | ↑ +166% |
| PRIME HEALTH | AUTO INSURANCE | $4,296.80 | ↑ +183% |
| PRIME HEALTH | WORKERS COMP | $4,296.80 | ↑ +183% |
| OXFORD | ALL PRODUCTS | $4,446.11 | ↑ +193% |
| UNITED HEALTHCARE | HMO | $4,465.99 | ↑ +195% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,565.35 | ↑ +201% |
| HORIZON | SHP | $4,711.44 | ↑ +211% |
| CIGNA | PPO | $4,860.22 | ↑ +221% |
| CIGNA | HMO | $4,860.22 | ↑ +221% |
| HORIZON | HMO | $4,876.33 | ↑ +222% |
| HORIZON | INDEMNITY | $4,940.78 | ↑ +226% |
| QUALCARE | HMO | $4,973.55 | ↑ +228% |
| QUALCARE | WORKERS COMP | $4,973.55 | ↑ +228% |
| QUALCARE | PPO | $4,973.55 | ↑ +228% |
| HORIZON | PPO | $4,991.27 | ↑ +229% |
| AMERIHEALTH | LOCAL HMO | $5,080.97 | ↑ +235% |
| AMERIHEALTH | REGIONAL HMO | $5,080.97 | ↑ +235% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +439% |
| HORIZON | PIP | $8,615.00 | ↑ +468% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +570% |
| AETNA | ASA | $10,692.00 | ↑ +605% |
| AETNA | PPO | $10,692.00 | ↑ +605% |
| AETNA | HMO | $10,692.00 | ↑ +605% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Place device/marker, non pro at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $619.41 | $409.21 – $2,990.68 |
| Cooperman Barnabas Medical Center | Livingston | $499.47 | $1,535.08 – $3,070.16 |
| Community Medical Center | Toms River | $1,274.47 | $1,495.34 – $2,975.73 |
| Clara Maass Medical Center | Belleville | $468.83 | $1,440.00 – $3,054.81 |
| Newark Beth Israel Medical Center | Newark | $490.99 | $1,535.08 – $3,070.16 |
| Jersey City Medical Center | Jersey City | $489.81 | $1,566.00 – $3,206.59 |
| Monmouth Medical Center | Long Branch | $515.74 | $1,514.47 – $3,013.80 |
| Bayshore Medical Center | Holmdel | $1,514.47 | $1,514.47 – $1,817.37 |