Prgrmg dev eval pm/ldls pm at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$41.31
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.
$460.00
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.
$37.29 with HORIZON vs $1,042.00 with OXFORD — 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 | MEDICARE ADVANTAGE | $37.29 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $37.29 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $37.29 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $37.29 | ↓ -10% |
| VACCN | ALL PRODUCTS | $37.29 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39.15 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.31 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $41.31 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $56.82 | ↑ +38% |
| AETNA | MANAGED MEDICAID | $74.06 | ↑ +79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $79.07 | ↑ +91% |
| CLOVER | MEDICARE ADVANTAGE | $82.80 | ↑ +100% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $98.90 | ↑ +139% |
| KARNA | MEDICARE ADVANTAGE | $118.27 | ↑ +186% |
| HORIZON | HMO | $181.00 | ↑ +338% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +355% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $230.00 | ↑ +457% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $276.00 | ↑ +568% |
| HORIZON | PIP | $280.14 | ↑ +578% |
| HORIZON | INDEMNITY | $280.14 | ↑ +578% |
| HORIZON | OMNIA | $280.14 | ↑ +578% |
| HORIZON | PPO | $280.14 | ↑ +578% |
| HORIZON | SHP | $280.14 | ↑ +578% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $299.00 | ↑ +624% |
| INTERGROUP | WORKERS COMP | $322.00 | ↑ +679% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $322.00 | ↑ +679% |
| INTERGROUP | SHARED SAVINGS | $322.00 | ↑ +679% |
| BERGEN RISK | ALL PRODUCTS | $345.00 | ↑ +735% |
| PRIME HEALTH | WORKERS COMP | $368.00 | ↑ +791% |
| PRIME HEALTH | AUTO INSURANCE | $368.00 | ↑ +791% |
| AETNA | HMO | $390.26 | ↑ +845% |
| AETNA | PPO | $390.26 | ↑ +845% |
| AETNA | ASA | $390.26 | ↑ +845% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $391.00 | ↑ +847% |
| QUALCARE | HMO | $425.96 | ↑ +931% |
| QUALCARE | PPO | $425.96 | ↑ +931% |
| QUALCARE | WORKERS COMP | $425.96 | ↑ +931% |
| AMERIHEALTH | REGIONAL HMO | $435.16 | ↑ +953% |
| AMERIHEALTH | LOCAL HMO | $435.16 | ↑ +953% |
| CIGNA | PPO | $442.80 | ↑ +972% |
| CIGNA | HMO | $442.80 | ↑ +972% |
| UNITED HEALTHCARE | HMO | $881.00 | ↑ +2033% |
| OXFORD | ALL PRODUCTS | $1,042.00 | ↑ +2422% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg dev eval pm/ldls pm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $52.69 | $35.61 – $83.68 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $113.04 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $113.04 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $118.27 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $41.31 – $118.27 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $113.04 |