Prq trluml c angiop 1art&/br at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$6,316.26
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.
$15,212.00
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.
$585.92 with HORIZON vs $50,472.00 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 | MANAGED MEDICAID | $585.92 | ↓ -91% |
| KARNA | MEDICARE ADVANTAGE | $867.40 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $2,449.13 | ↓ -61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,614.94 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $2,738.16 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,270.58 | ↓ -48% |
| AETNA | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| VACCN | ALL PRODUCTS | $5,701.52 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,701.52 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,986.60 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,316.26 | ↑ +0% |
| HORIZON | OMNIA | $7,564.00 | ↑ +20% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +29% |
| HORIZON | PIP | $8,615.00 | ↑ +36% |
| HORIZON | SHP | $8,665.00 | ↑ +37% |
| HORIZON | HMO | $9,360.00 | ↑ +48% |
| HORIZON | INDEMNITY | $9,469.00 | ↑ +50% |
| HORIZON | PPO | $9,581.00 | ↑ +52% |
| INTERGROUP | SHARED SAVINGS | $10,648.40 | ↑ +69% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,648.40 | ↑ +69% |
| INTERGROUP | WORKERS COMP | $10,648.40 | ↑ +69% |
| BERGEN RISK | ALL PRODUCTS | $11,409.00 | ↑ +81% |
| PRIME HEALTH | WORKERS COMP | $12,169.60 | ↑ +93% |
| PRIME HEALTH | AUTO INSURANCE | $12,169.60 | ↑ +93% |
| AETNA | ASA | $12,526.00 | ↑ +98% |
| AETNA | HMO | $12,526.00 | ↑ +98% |
| AETNA | PPO | $12,526.00 | ↑ +98% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,930.20 | ↑ +105% |
| QUALCARE | WORKERS COMP | $14,086.31 | ↑ +123% |
| QUALCARE | PPO | $14,086.31 | ↑ +123% |
| QUALCARE | HMO | $14,086.31 | ↑ +123% |
| CIGNA | HMO | $17,039.00 | ↑ +170% |
| AMERIHEALTH | LOCAL HMO | $17,856.00 | ↑ +183% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,878.00 | ↑ +183% |
| AMERIHEALTH | REGIONAL HMO | $19,842.00 | ↑ +214% |
| CIGNA | PPO | $22,953.00 | ↑ +263% |
| OXFORD | ALL PRODUCTS | $50,081.00 | ↑ +693% |
| UNITED HEALTHCARE | HMO | $50,472.00 | ↑ +699% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prq trluml c angiop 1art&/br at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $339.24 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $848.91 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $6,310.78 | $848.91 – $7,572.94 |
| Palisades Medical Center | North Bergen | $6,714.45 | $577.13 – $7,318.75 |
| Raritan Bay Medical Center | Perth Amboy | $6,316.26 | $732.40 – $9,707.20 |
| Riverview Medical Center | Red Bank | $6,310.78 | $848.91 – $7,572.94 |
| Southern Ocean Medical Center | Manahawkin | $6,231.08 | $848.91 – $7,477.29 |