Puncture aspiration abscess/hematoma/bulla/cyst at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$442.61
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.
$803.00
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.
$129.28 with AETNA vs $9,236.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $129.28 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $138.04 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $144.54 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $144.98 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $172.65 | ↓ -61% |
| KARNA | MEDICARE ADVANTAGE | $209.77 | ↓ -53% |
| HORIZON | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $399.53 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| VACCN | ALL PRODUCTS | $399.53 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $399.53 | ↓ -10% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $403.91 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $419.51 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.61 | ↑ +0% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $448.88 | ↑ +1% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $562.10 | ↑ +27% |
| INTERGROUP | WORKERS COMP | $562.10 | ↑ +27% |
| INTERGROUP | SHARED SAVINGS | $562.10 | ↑ +27% |
| HORIZON | PIP | $586.99 | ↑ +33% |
| HORIZON | WORKERS COMP | $586.99 | ↑ +33% |
| BERGEN RISK | ALL PRODUCTS | $602.25 | ↑ +36% |
| PRIME HEALTH | WORKERS COMP | $642.40 | ↑ +45% |
| PRIME HEALTH | AUTO INSURANCE | $642.40 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $664.72 | ↑ +50% |
| UNITED HEALTHCARE | HMO | $667.69 | ↑ +51% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $682.55 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $722.70 | ↑ +63% |
| CIGNA | PPO | $726.63 | ↑ +64% |
| CIGNA | HMO | $726.63 | ↑ +64% |
| QUALCARE | PPO | $743.58 | ↑ +68% |
| QUALCARE | HMO | $743.58 | ↑ +68% |
| QUALCARE | WORKERS COMP | $743.58 | ↑ +68% |
| AMERIHEALTH | REGIONAL HMO | $759.64 | ↑ +72% |
| AMERIHEALTH | LOCAL HMO | $759.64 | ↑ +72% |
| AETNA | ASA | $4,025.00 | ↑ +809% |
| AETNA | PPO | $4,025.00 | ↑ +809% |
| AETNA | HMO | $4,025.00 | ↑ +809% |
| HORIZON | OMNIA | $7,292.00 | ↑ +1548% |
| HORIZON | SHP | $8,353.00 | ↑ +1787% |
| HORIZON | HMO | $9,023.00 | ↑ +1939% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +1962% |
| HORIZON | PPO | $9,236.00 | ↑ +1987% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $123.23 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $118.88 – $892.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $69.23 – $896.48 |
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $209.77 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $201.99 – $523.97 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $201.99 – $530.67 |
| Palisades Medical Center | North Bergen | $470.51 | $142.81 – $512.86 |