Removal of hydrocele at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,909.56
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.
$7,962.00
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.
$285.90 with HORIZON vs $15,496.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $285.90 | ↓ -93% |
| KARNA | MEDICARE ADVANTAGE | $727.32 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $1,281.88 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,368.67 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $1,433.16 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,711.83 | ↓ -56% |
| VACCN | ALL PRODUCTS | $3,529.06 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,529.06 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $3,529.06 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $3,529.06 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,529.06 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $3,529.06 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,705.51 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,909.56 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $5,573.40 | ↑ +43% |
| INTERGROUP | SHARED SAVINGS | $5,573.40 | ↑ +43% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,573.40 | ↑ +43% |
| HORIZON | OMNIA | $5,858.44 | ↑ +50% |
| BERGEN RISK | ALL PRODUCTS | $5,971.50 | ↑ +53% |
| PRIME HEALTH | WORKERS COMP | $6,369.60 | ↑ +63% |
| PRIME HEALTH | AUTO INSURANCE | $6,369.60 | ↑ +63% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,767.70 | ↑ +73% |
| HORIZON | SHP | $6,984.27 | ↑ +79% |
| CIGNA | HMO | $7,204.81 | ↑ +84% |
| CIGNA | PPO | $7,204.81 | ↑ +84% |
| HORIZON | HMO | $7,228.70 | ↑ +85% |
| HORIZON | INDEMNITY | $7,324.24 | ↑ +87% |
| QUALCARE | PPO | $7,372.81 | ↑ +89% |
| QUALCARE | HMO | $7,372.81 | ↑ +89% |
| QUALCARE | WORKERS COMP | $7,372.81 | ↑ +89% |
| HORIZON | PPO | $7,399.09 | ↑ +89% |
| AMERIHEALTH | REGIONAL HMO | $7,532.05 | ↑ +93% |
| AMERIHEALTH | LOCAL HMO | $7,532.05 | ↑ +93% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +109% |
| HORIZON | PIP | $8,615.00 | ↑ +120% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +160% |
| AETNA | PPO | $10,692.00 | ↑ +173% |
| AETNA | HMO | $10,692.00 | ↑ +173% |
| AETNA | ASA | $10,692.00 | ↑ +173% |
| OXFORD | ALL PRODUCTS | $12,418.00 | ↑ +218% |
| UNITED HEALTHCARE | HMO | $15,496.00 | ↑ +296% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of hydrocele at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $173.21 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $237.30 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $243.02 – $7,675.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $234.44 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $178.30 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $224.15 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $468.88 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |