Prgr stim/pace a/iv drug 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.
$10,491.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $34,508.00 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | — |
| HORIZON | HMO | $181.00 | — |
| HORIZON | WORKERS COMP | $188.00 | — |
| KARNA | MEDICARE ADVANTAGE | $612.17 | — |
| AETNA | MANAGED MEDICAID | $1,689.05 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,803.40 | — |
| CLOVER | MEDICARE ADVANTAGE | $1,888.38 | — |
| AETNA | MEDICARE ADVANTAGE | $2,161.15 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,255.57 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,287.04 | — |
| HORIZON | MANAGED MEDICAID | $4,558.00 | — |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $5,245.50 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,294.60 | — |
| HORIZON | OMNIA | $6,389.02 | — |
| HORIZON | SHP | $6,389.02 | — |
| HORIZON | INDEMNITY | $6,389.02 | — |
| HORIZON | PPO | $6,389.02 | — |
| HORIZON | PIP | $6,389.02 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $6,819.15 | — |
| INTERGROUP | WORKERS COMP | $7,343.70 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,343.70 | — |
| INTERGROUP | SHARED SAVINGS | $7,343.70 | — |
| BERGEN RISK | ALL PRODUCTS | $7,868.25 | — |
| PRIME HEALTH | AUTO INSURANCE | $8,392.80 | — |
| PRIME HEALTH | WORKERS COMP | $8,392.80 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,917.35 | — |
| AETNA | HMO | $9,407.28 | — |
| AETNA | ASA | $9,407.28 | — |
| AETNA | PPO | $9,407.28 | — |
| QUALCARE | HMO | $9,714.67 | — |
| QUALCARE | WORKERS COMP | $9,714.67 | — |
| QUALCARE | PPO | $9,714.67 | — |
| AMERIHEALTH | LOCAL HMO | $9,924.49 | — |
| AMERIHEALTH | REGIONAL HMO | $9,924.49 | — |
| CIGNA | HMO | $10,098.64 | — |
| CIGNA | PPO | $10,098.64 | — |
| OXFORD | ALL PRODUCTS | $34,268.00 | — |
| UNITED HEALTHCARE | HMO | $34,508.00 | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Prgr stim/pace a/iv drug at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $1,611.71 | $3,783.14 – $3,783.14 |
| Clara Maass Medical Center | Belleville | $1,217.26 | $3,737.56 – $3,737.56 |
| Newark Beth Israel Medical Center | Newark | $1,584.32 | $16.38 – $6,859.79 |
| Jersey City Medical Center | Jersey City | $1,937.11 | $20.59 – $4,102.20 |
| Robert Wood Johnson University Hospital | New Brunswick | $1,622.35 | $246.22 – $3,441.29 |
| Trinitas Regional Medical Center | Elizabeth | not published | $15.91 – $5,948.19 |
| Community Medical Center | Toms River | not published | $3,874.30 – $3,874.30 |
| Monmouth Medical Center | Long Branch | not published | $7,475.12 – $7,475.12 |