Pregnancy associated plasma protein-a at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$15.05
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.
$118.00
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.
$13.24 with UNITED HEALTHCARE vs $111.63 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $13.24 | ↓ -12% |
| HORIZON | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $15.05 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| VACCN | ALL PRODUCTS | $15.05 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $15.05 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $15.05 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $15.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.80 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $19.00 | ↑ +26% |
| KARNA | MEDICARE ADVANTAGE | $20.02 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $22.48 | ↑ +49% |
| UNITED HEALTHCARE | HMO | $32.81 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $32.81 | ↑ +118% |
| CIGNA | HMO | $70.83 | ↑ +371% |
| CIGNA | PPO | $70.83 | ↑ +371% |
| INTERGROUP | SHARED SAVINGS | $82.60 | ↑ +449% |
| INTERGROUP | WORKERS COMP | $82.60 | ↑ +449% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $82.60 | ↑ +449% |
| HORIZON | PIP | $86.26 | ↑ +473% |
| HORIZON | WORKERS COMP | $86.26 | ↑ +473% |
| HORIZON | OMNIA | $86.82 | ↑ +477% |
| BERGEN RISK | ALL PRODUCTS | $88.50 | ↑ +488% |
| QUALCARE | HMO | $91.21 | ↑ +506% |
| QUALCARE | WORKERS COMP | $91.21 | ↑ +506% |
| QUALCARE | PPO | $91.21 | ↑ +506% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $94.40 | ↑ +527% |
| PRIME HEALTH | AUTO INSURANCE | $94.40 | ↑ +527% |
| PRIME HEALTH | WORKERS COMP | $94.40 | ↑ +527% |
| AETNA | ASA | $99.12 | ↑ +559% |
| AETNA | PPO | $99.12 | ↑ +559% |
| AETNA | HMO | $99.12 | ↑ +559% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $100.30 | ↑ +566% |
| HORIZON | SHP | $103.51 | ↑ +588% |
| HORIZON | HMO | $107.13 | ↑ +612% |
| HORIZON | INDEMNITY | $108.55 | ↑ +621% |
| HORIZON | PPO | $109.66 | ↑ +629% |
| AMERIHEALTH | LOCAL HMO | $111.63 | ↑ +642% |
| AMERIHEALTH | REGIONAL HMO | $111.63 | ↑ +642% |
Visitor-reported prices
Comments
Pregnancy associated plasma protein-a at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $16.56 | $7.07 – $61.42 |
| Cooperman Barnabas Medical Center | Livingston | $16.56 | $7.07 – $61.42 |
| Community Medical Center | Toms River | $16.56 | $7.07 – $61.42 |
| Clara Maass Medical Center | Belleville | $16.56 | $7.07 – $61.42 |
| Newark Beth Israel Medical Center | Newark | $16.56 | $7.07 – $61.42 |
| Jersey City Medical Center | Jersey City | $16.56 | $7.07 – $61.42 |
| Monmouth Medical Center | Long Branch | $16.56 | $7.07 – $61.42 |
| Bayshore Medical Center | Holmdel | $15.05 | $15.05 – $68.96 |