Red blood cells leukocytes reduced irradiated each unit at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$283.38
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.
$1,320.00
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.
$212.52 with AETNA vs $1,270.63 with CIGNA — 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 | $212.52 | ↓ -25% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $226.91 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $237.60 | ↓ -16% |
| AETNA | MEDICARE ADVANTAGE | $255.80 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $255.80 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $255.80 | ↓ -10% |
| VACCN | ALL PRODUCTS | $255.80 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $255.80 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $255.80 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $268.59 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $283.38 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $283.80 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $311.00 | ↑ +10% |
| UNITED HEALTHCARE | HMO | $382.00 | ↑ +35% |
| INTERGROUP | WORKERS COMP | $924.00 | ↑ +226% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $924.00 | ↑ +226% |
| INTERGROUP | SHARED SAVINGS | $924.00 | ↑ +226% |
| HORIZON | PIP | $964.92 | ↑ +241% |
| HORIZON | WORKERS COMP | $964.92 | ↑ +241% |
| HORIZON | OMNIA | $971.26 | ↑ +243% |
| BERGEN RISK | ALL PRODUCTS | $990.00 | ↑ +249% |
| PRIME HEALTH | WORKERS COMP | $1,056.00 | ↑ +273% |
| PRIME HEALTH | AUTO INSURANCE | $1,056.00 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,122.00 | ↑ +296% |
| HORIZON | SHP | $1,157.90 | ↑ +309% |
| AETNA | ASA | $1,183.64 | ↑ +318% |
| AETNA | PPO | $1,183.64 | ↑ +318% |
| AETNA | HMO | $1,183.64 | ↑ +318% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,188.00 | ↑ +319% |
| HORIZON | HMO | $1,198.43 | ↑ +323% |
| HORIZON | INDEMNITY | $1,214.27 | ↑ +328% |
| QUALCARE | HMO | $1,222.32 | ↑ +331% |
| QUALCARE | PPO | $1,222.32 | ↑ +331% |
| QUALCARE | WORKERS COMP | $1,222.32 | ↑ +331% |
| HORIZON | PPO | $1,226.68 | ↑ +333% |
| AMERIHEALTH | REGIONAL HMO | $1,248.72 | ↑ +341% |
| AMERIHEALTH | LOCAL HMO | $1,248.72 | ↑ +341% |
| CIGNA | PPO | $1,270.63 | ↑ +348% |
| CIGNA | HMO | $1,270.63 | ↑ +348% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Red blood cells leukocytes reduced irradiated each unit at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $128.01 | $8.16 – $559.12 |
| Cooperman Barnabas Medical Center | Livingston | $144.51 | $286.99 – $573.98 |
| Community Medical Center | Toms River | $141.44 | $279.56 – $556.32 |
| Clara Maass Medical Center | Belleville | $135.64 | $286.99 – $571.11 |
| Newark Beth Israel Medical Center | Newark | $142.06 | $286.99 – $573.98 |
| Jersey City Medical Center | Jersey City | $141.71 | $10.56 – $599.49 |
| Monmouth Medical Center | Long Branch | $149.22 | $283.13 – $2,199.00 |
| Jersey Shore University Medical Center | Neptune City | $283.13 | $283.13 – $380.00 |