Radiation therapy dose plan at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$147.09
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.
$1,045.00
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.
$126.06 with KARNA vs $2,997.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $126.06 | ↓ -14% |
| WELLCARE | MANAGED MEDICAID | $132.77 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $132.77 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $132.77 | ↓ -10% |
| VACCN | ALL PRODUCTS | $132.77 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $132.77 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $139.41 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $147.09 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $147.09 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $168.25 | ↑ +14% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $179.64 | ↑ +22% |
| CLOVER | MEDICARE ADVANTAGE | $188.10 | ↑ +28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $224.68 | ↑ +53% |
| AMERIHEALTH | REGIONAL HMO | $332.52 | ↑ +126% |
| AMERIHEALTH | LOCAL HMO | $332.52 | ↑ +126% |
| HORIZON | HMO | $509.00 | ↑ +246% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $522.50 | ↑ +255% |
| HORIZON | WORKERS COMP | $526.00 | ↑ +258% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $553.85 | ↑ +277% |
| HORIZON | PIP | $636.41 | ↑ +333% |
| HORIZON | INDEMNITY | $636.41 | ↑ +333% |
| HORIZON | OMNIA | $636.41 | ↑ +333% |
| HORIZON | PPO | $636.41 | ↑ +333% |
| HORIZON | SHP | $636.41 | ↑ +333% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $679.25 | ↑ +362% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $731.50 | ↑ +397% |
| INTERGROUP | SHARED SAVINGS | $731.50 | ↑ +397% |
| INTERGROUP | WORKERS COMP | $731.50 | ↑ +397% |
| BERGEN RISK | ALL PRODUCTS | $783.75 | ↑ +433% |
| QUALCARE | PPO | $807.79 | ↑ +449% |
| QUALCARE | HMO | $807.79 | ↑ +449% |
| QUALCARE | WORKERS COMP | $807.79 | ↑ +449% |
| PRIME HEALTH | AUTO INSURANCE | $836.00 | ↑ +468% |
| PRIME HEALTH | WORKERS COMP | $836.00 | ↑ +468% |
| CIGNA | HMO | $876.93 | ↑ +496% |
| CIGNA | PPO | $876.93 | ↑ +496% |
| AETNA | HMO | $877.80 | ↑ +497% |
| AETNA | PPO | $877.80 | ↑ +497% |
| AETNA | ASA | $877.80 | ↑ +497% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $888.25 | ↑ +504% |
| OXFORD | ALL PRODUCTS | $2,966.00 | ↑ +1916% |
| UNITED HEALTHCARE | HMO | $2,997.00 | ↑ +1938% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radiation therapy dose plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $184.69 | $34.09 – $1,383.00 |
| Cooperman Barnabas Medical Center | Livingston | $248.34 | $85.28 – $297.92 |
| Community Medical Center | Toms River | $204.08 | $85.28 – $288.75 |
| Clara Maass Medical Center | Belleville | $236.88 | $85.28 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $244.12 | $35.09 – $297.92 |
| Jersey City Medical Center | Jersey City | $204.47 | $44.11 – $311.16 |
| Monmouth Medical Center | Long Branch | $215.29 | $85.28 – $292.45 |
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $21,431.00 |