Radphm lcl tumor plr sgl day at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$445.16
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.
$3,035.00
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.
$307.71 with AMERIHEALTH vs $2,820.43 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 |
|---|---|---|---|
| AMERIHEALTH | REGIONAL HMO | $307.71 | ↓ -31% |
| AMERIHEALTH | LOCAL HMO | $340.64 | ↓ -23% |
| VACCN | ALL PRODUCTS | $401.83 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $401.83 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $401.83 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $421.92 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $453.41 | ↑ +2% |
| AETNA | MANAGED MEDICAID | $488.64 | ↑ +10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $521.72 | ↑ +17% |
| CLOVER | MEDICARE ADVANTAGE | $546.30 | ↑ +23% |
| HORIZON | MANAGED MEDICAID | $578.17 | ↑ +30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $652.53 | ↑ +47% |
| CIGNA | HMO | $838.78 | ↑ +88% |
| CIGNA | PPO | $838.78 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $1,081.39 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $1,081.39 | ↑ +143% |
| INTERGROUP | SHARED SAVINGS | $2,124.50 | ↑ +377% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,124.50 | ↑ +377% |
| INTERGROUP | WORKERS COMP | $2,124.50 | ↑ +377% |
| HORIZON | WORKERS COMP | $2,218.59 | ↑ +398% |
| HORIZON | PIP | $2,218.59 | ↑ +398% |
| HORIZON | OMNIA | $2,233.15 | ↑ +402% |
| BERGEN RISK | ALL PRODUCTS | $2,276.25 | ↑ +411% |
| QUALCARE | HMO | $2,346.06 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,346.06 | ↑ +427% |
| QUALCARE | PPO | $2,346.06 | ↑ +427% |
| PRIME HEALTH | AUTO INSURANCE | $2,428.00 | ↑ +445% |
| PRIME HEALTH | WORKERS COMP | $2,428.00 | ↑ +445% |
| AETNA | ASA | $2,549.40 | ↑ +473% |
| AETNA | PPO | $2,549.40 | ↑ +473% |
| AETNA | HMO | $2,549.40 | ↑ +473% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,579.75 | ↑ +480% |
| HORIZON | SHP | $2,662.30 | ↑ +498% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,731.50 | ↑ +514% |
| HORIZON | HMO | $2,755.48 | ↑ +519% |
| HORIZON | INDEMNITY | $2,791.90 | ↑ +527% |
| HORIZON | PPO | $2,820.43 | ↑ +534% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Cooperman Barnabas Medical Center | Livingston | $451.77 | $224.68 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |