Removal devitalized tissue non-selective debridement without anesthesia per session at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$220.12
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.
$376.00
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.
$60.54 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 | $60.54 | ↓ -72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $64.63 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $67.68 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $80.84 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $154.00 | ↓ -30% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $189.13 | ↓ -14% |
| HORIZON | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $198.70 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| VACCN | ALL PRODUCTS | $198.70 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $208.64 | ↓ -5% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $210.18 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $220.12 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $240.27 | ↑ +9% |
| INTERGROUP | SHARED SAVINGS | $263.20 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $263.20 | ↑ +20% |
| INTERGROUP | WORKERS COMP | $263.20 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $272.76 | ↑ +24% |
| HORIZON | PIP | $274.86 | ↑ +25% |
| HORIZON | WORKERS COMP | $274.86 | ↑ +25% |
| BERGEN RISK | ALL PRODUCTS | $282.00 | ↑ +28% |
| PRIME HEALTH | WORKERS COMP | $300.80 | ↑ +37% |
| PRIME HEALTH | AUTO INSURANCE | $300.80 | ↑ +37% |
| OXFORD | ALL PRODUCTS | $311.25 | ↑ +41% |
| UNITED HEALTHCARE | HMO | $312.64 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $319.60 | ↑ +45% |
| AETNA | HMO | $337.16 | ↑ +53% |
| AETNA | ASA | $337.16 | ↑ +53% |
| AETNA | PPO | $337.16 | ↑ +53% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $338.40 | ↑ +54% |
| CIGNA | HMO | $340.24 | ↑ +55% |
| CIGNA | PPO | $340.24 | ↑ +55% |
| QUALCARE | WORKERS COMP | $348.18 | ↑ +58% |
| QUALCARE | HMO | $348.18 | ↑ +58% |
| QUALCARE | PPO | $348.18 | ↑ +58% |
| HORIZON | OMNIA | $7,292.00 | ↑ +3213% |
| HORIZON | SHP | $8,353.00 | ↑ +3695% |
| HORIZON | HMO | $9,023.00 | ↑ +3999% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +4047% |
| HORIZON | PPO | $9,236.00 | ↑ +4096% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Removal devitalized tissue non-selective debridement without anesthesia per session at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $109.80 | $66.00 – $434.32 |
| Cooperman Barnabas Medical Center | Livingston | $100.44 | $64.45 – $445.86 |
| Community Medical Center | Toms River | $121.32 | $64.45 – $432.15 |
| Clara Maass Medical Center | Belleville | $110.78 | $37.00 – $443.63 |
| Childrens Specialized Hospital | Mountainside | $102.50 | $237.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $98.73 | $64.45 – $445.86 |
| Jersey City Medical Center | Jersey City | $121.56 | $64.45 – $465.66 |
| Monmouth Medical Center | Long Branch | $127.99 | $64.45 – $437.66 |