Prq trluml c athrc 1 art&/br at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$12,563.31
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.
$16,464.00
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.
$696.64 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 | $696.64 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $1,034.69 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $2,650.70 | ↓ -79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,830.16 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $2,963.52 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,539.76 | ↓ -72% |
| HORIZON | OMNIA | $7,564.00 | ↓ -40% |
| HORIZON | WORKERS COMP | $8,173.00 | ↓ -35% |
| HORIZON | PIP | $8,615.00 | ↓ -31% |
| HORIZON | SHP | $8,665.00 | ↓ -31% |
| HORIZON | HMO | $9,360.00 | ↓ -25% |
| HORIZON | INDEMNITY | $9,469.00 | ↓ -25% |
| HORIZON | PPO | $9,581.00 | ↓ -24% |
| WELLCARE | MEDICARE ADVANTAGE | $11,340.57 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $11,340.57 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $11,340.57 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $11,340.57 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $11,340.57 | ↓ -10% |
| VACCN | ALL PRODUCTS | $11,340.57 | ↓ -10% |
| INTERGROUP | WORKERS COMP | $11,524.80 | ↓ -8% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,524.80 | ↓ -8% |
| INTERGROUP | SHARED SAVINGS | $11,524.80 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11,907.60 | ↓ -5% |
| BERGEN RISK | ALL PRODUCTS | $12,348.00 | ↓ -2% |
| AETNA | PPO | $12,526.00 | ↓ -0% |
| AETNA | ASA | $12,526.00 | ↓ -0% |
| AETNA | HMO | $12,526.00 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,563.31 | ↑ +0% |
| PRIME HEALTH | AUTO INSURANCE | $13,171.20 | ↑ +5% |
| PRIME HEALTH | WORKERS COMP | $13,171.20 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $13,994.40 | ↑ +11% |
| QUALCARE | HMO | $15,245.66 | ↑ +21% |
| QUALCARE | PPO | $15,245.66 | ↑ +21% |
| QUALCARE | WORKERS COMP | $15,245.66 | ↑ +21% |
| AMERIHEALTH | REGIONAL HMO | $15,574.94 | ↑ +24% |
| AMERIHEALTH | LOCAL HMO | $15,574.94 | ↑ +24% |
| CIGNA | HMO | $17,039.00 | ↑ +36% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,878.00 | ↑ +42% |
| CIGNA | PPO | $22,953.00 | ↑ +83% |
| OXFORD | ALL PRODUCTS | $50,081.00 | ↑ +299% |
| UNITED HEALTHCARE | HMO | $50,472.00 | ↑ +302% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prq trluml c athrc 1 art&/br at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $403.34 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,012.66 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $1,012.66 – $15,062.91 |
| Palisades Medical Center | North Bergen | $13,355.34 | $686.19 – $14,557.32 |
| Raritan Bay Medical Center | Perth Amboy | $12,563.31 | $870.80 – $16,987.60 |
| Riverview Medical Center | Red Bank | $12,552.42 | $1,012.66 – $15,062.91 |
| Southern Ocean Medical Center | Manahawkin | $12,393.88 | $1,012.66 – $14,872.66 |