Plcmt sft tiss loc pq w/img 1st lsn at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$779.45
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.
$2,267.00
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.
$173.29 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 | $173.29 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $364.99 | ↓ -53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $389.70 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $408.06 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $487.41 | ↓ -37% |
| VACCN | ALL PRODUCTS | $703.59 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $703.59 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $703.59 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $738.77 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $779.45 | ↑ +0% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,140.30 | ↑ +46% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $1,267.25 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,586.90 | ↑ +104% |
| INTERGROUP | SHARED SAVINGS | $1,586.90 | ↑ +104% |
| INTERGROUP | WORKERS COMP | $1,586.90 | ↑ +104% |
| HORIZON | WORKERS COMP | $1,657.18 | ↑ +113% |
| HORIZON | PIP | $1,657.18 | ↑ +113% |
| BERGEN RISK | ALL PRODUCTS | $1,700.25 | ↑ +118% |
| PRIME HEALTH | WORKERS COMP | $1,813.60 | ↑ +133% |
| PRIME HEALTH | AUTO INSURANCE | $1,813.60 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $1,876.62 | ↑ +141% |
| UNITED HEALTHCARE | HMO | $1,885.01 | ↑ +142% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,926.95 | ↑ +147% |
| AETNA | ASA | $2,032.82 | ↑ +161% |
| AETNA | HMO | $2,032.82 | ↑ +161% |
| AETNA | PPO | $2,032.82 | ↑ +161% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,040.30 | ↑ +162% |
| CIGNA | PPO | $2,051.41 | ↑ +163% |
| CIGNA | HMO | $2,051.41 | ↑ +163% |
| QUALCARE | PPO | $2,099.24 | ↑ +169% |
| QUALCARE | HMO | $2,099.24 | ↑ +169% |
| QUALCARE | WORKERS COMP | $2,099.24 | ↑ +169% |
| AMERIHEALTH | REGIONAL HMO | $2,144.58 | ↑ +175% |
| AMERIHEALTH | LOCAL HMO | $2,144.58 | ↑ +175% |
| HORIZON | OMNIA | $7,292.00 | ↑ +836% |
| HORIZON | SHP | $8,353.00 | ↑ +972% |
| HORIZON | HMO | $9,023.00 | ↑ +1058% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +1071% |
| HORIZON | PPO | $9,236.00 | ↑ +1085% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Plcmt sft tiss loc pq w/img 1st lsn at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $187.85 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $789.37 – $1,578.74 |
| Community Medical Center | Toms River | $3,786.00 | $768.94 – $1,530.19 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $789.37 – $1,570.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $193.38 – $1,578.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $243.10 – $1,648.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $778.78 – $1,549.77 |
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |