Procainamide 100 mg/ml injection (wrapper) at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$194.32
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.
$2,846.16
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.
$97.94 with CIGNA vs $1,087.23 with QUALCARE — 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 |
|---|---|---|---|
| CIGNA | HMO | $97.94 | ↓ -50% |
| CIGNA | PPO | $97.94 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $108.22 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.54 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $120.99 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $165.17 | ↓ -15% |
| HORIZON | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $194.32 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $194.32 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $194.32 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $194.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $204.04 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $213.88 | ↑ +10% |
| AMERIHEALTH | REGIONAL HMO | $213.88 | ↑ +10% |
| OXFORD | ALL PRODUCTS | $231.63 | ↑ +19% |
| UNITED HEALTHCARE | HMO | $231.63 | ↑ +19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $336.08 | ↑ +73% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $336.08 | ↑ +73% |
| AMERIGROUP | MANAGED MEDICAID | $336.08 | ↑ +73% |
| AETNA | PPO | $348.17 | ↑ +79% |
| AETNA | ASA | $348.17 | ↑ +79% |
| AETNA | HMO | $348.17 | ↑ +79% |
| BERGEN RISK | ALL PRODUCTS | $403.29 | ↑ +108% |
| INTERGROUP | WORKERS COMP | $470.51 | ↑ +142% |
| INTERGROUP | SHARED SAVINGS | $470.51 | ↑ +142% |
| HORIZON | PIP | $491.34 | ↑ +153% |
| HORIZON | WORKERS COMP | $491.34 | ↑ +153% |
| HORIZON | OMNIA | $494.57 | ↑ +155% |
| PRIME HEALTH | AUTO INSURANCE | $537.72 | ↑ +177% |
| PRIME HEALTH | WORKERS COMP | $537.72 | ↑ +177% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $571.33 | ↑ +194% |
| HORIZON | SHP | $589.61 | ↑ +203% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $604.94 | ↑ +211% |
| HORIZON | HMO | $610.24 | ↑ +214% |
| HORIZON | INDEMNITY | $618.31 | ↑ +218% |
| HORIZON | PPO | $624.63 | ↑ +221% |
| QUALCARE | WORKERS COMP | $1,087.23 | ↑ +460% |
| QUALCARE | HMO | $1,087.23 | ↑ +460% |
| QUALCARE | PPO | $1,087.23 | ↑ +460% |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $194.32 | $165.17 – $233.18 |
| Hackensack University Medical Center | Hackensack | $194.32 | $194.32 – $412.74 |
| Ocean University Medical Center | Brick | $194.32 | $97.94 – $231.63 |
| Jersey Shore University Medical Center | Neptune City | $194.32 | $165.17 – $233.18 |
| Palisades Medical Center | North Bergen | $546.07 | $165.17 – $211.81 |
| Raritan Bay Medical Center | Perth Amboy | $194.32 | $165.17 – $231.63 |
| Riverview Medical Center | Red Bank | $194.32 | $165.17 – $231.63 |
| Southern Ocean Medical Center | Manahawkin | $194.32 | $165.17 – $233.18 |