Red cell mass multiple at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$596.31
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.
$1,664.00
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.
$149.48 with KARNA vs $1,546.36 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $149.48 | ↓ -75% |
| AMERIHEALTH | REGIONAL HMO | $227.67 | ↓ -62% |
| CIGNA | PPO | $242.70 | ↓ -59% |
| CIGNA | HMO | $242.70 | ↓ -59% |
| AMERIHEALTH | LOCAL HMO | $252.03 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $267.90 | ↓ -55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $286.04 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $299.52 | ↓ -50% |
| HORIZON | MANAGED MEDICAID | $316.99 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $357.76 | ↓ -40% |
| VACCN | ALL PRODUCTS | $538.27 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $538.27 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $538.27 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $565.18 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,164.80 | ↑ +95% |
| INTERGROUP | WORKERS COMP | $1,164.80 | ↑ +95% |
| INTERGROUP | SHARED SAVINGS | $1,164.80 | ↑ +95% |
| HORIZON | PIP | $1,216.38 | ↑ +104% |
| HORIZON | WORKERS COMP | $1,216.38 | ↑ +104% |
| HORIZON | OMNIA | $1,224.37 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $1,248.00 | ↑ +109% |
| QUALCARE | WORKERS COMP | $1,286.27 | ↑ +116% |
| QUALCARE | PPO | $1,286.27 | ↑ +116% |
| QUALCARE | HMO | $1,286.27 | ↑ +116% |
| PRIME HEALTH | AUTO INSURANCE | $1,331.20 | ↑ +123% |
| PRIME HEALTH | WORKERS COMP | $1,331.20 | ↑ +123% |
| AETNA | ASA | $1,397.76 | ↑ +134% |
| AETNA | PPO | $1,397.76 | ↑ +134% |
| AETNA | HMO | $1,397.76 | ↑ +134% |
| UNITED HEALTHCARE | HMO | $1,403.35 | ↑ +135% |
| OXFORD | ALL PRODUCTS | $1,403.35 | ↑ +135% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,414.40 | ↑ +137% |
| HORIZON | SHP | $1,459.66 | ↑ +145% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,497.60 | ↑ +151% |
| HORIZON | HMO | $1,510.75 | ↑ +153% |
| HORIZON | INDEMNITY | $1,530.71 | ↑ +157% |
| HORIZON | PPO | $1,546.36 | ↑ +159% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Red cell mass multiple at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $217.22 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $65.41 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $142.01 – $1,325.05 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $142.01 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $72.16 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $99.00 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $61.60 – $1,325.05 |
| Southern Ocean Medical Center | Manahawkin | $588.26 | $142.01 – $617.68 |