Plc pq device breast ea addl lesion Ultrasound guide at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
not published by hospital
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.
$1,113.00
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.
$86.98 with KARNA vs $9,236.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $86.98 | — |
| AETNA | MANAGED MEDICAID | $179.19 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $191.32 | — |
| CLOVER | MEDICARE ADVANTAGE | $200.34 | — |
| AETNA | MEDICARE ADVANTAGE | $229.28 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $239.30 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $291.61 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $559.84 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $622.17 | — |
| INTERGROUP | WORKERS COMP | $779.10 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $779.10 | — |
| INTERGROUP | SHARED SAVINGS | $779.10 | — |
| HORIZON | WORKERS COMP | $813.60 | — |
| HORIZON | PIP | $813.60 | — |
| BERGEN RISK | ALL PRODUCTS | $834.75 | — |
| PRIME HEALTH | WORKERS COMP | $890.40 | — |
| PRIME HEALTH | AUTO INSURANCE | $890.40 | — |
| OXFORD | ALL PRODUCTS | $921.34 | — |
| UNITED HEALTHCARE | HMO | $925.46 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $946.05 | — |
| AETNA | PPO | $998.03 | — |
| AETNA | HMO | $998.03 | — |
| AETNA | ASA | $998.03 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,001.70 | — |
| CIGNA | PPO | $1,007.15 | — |
| CIGNA | HMO | $1,007.15 | — |
| QUALCARE | HMO | $1,030.64 | — |
| QUALCARE | PPO | $1,030.64 | — |
| QUALCARE | WORKERS COMP | $1,030.64 | — |
| AMERIHEALTH | REGIONAL HMO | $1,052.90 | — |
| AMERIHEALTH | LOCAL HMO | $1,052.90 | — |
| HORIZON | OMNIA | $7,292.00 | — |
| HORIZON | SHP | $8,353.00 | — |
| HORIZON | HMO | $9,023.00 | — |
| HORIZON | INDEMNITY | $9,128.00 | — |
| HORIZON | PPO | $9,236.00 | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Plc pq device breast ea addl lesion Ultrasound guide at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $155.43 – $912.99 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $160.00 – $160.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $201.14 – $201.14 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $447.91 – $447.91 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $164.57 – $164.57 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $86.98 – $86.98 |
| Ocean University Medical Center | Brick | not published | $84.71 – $84.71 |