Remove eyelid lesions at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$331.16
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.
?
What you pay up front if you don't use insurance.
$1,444.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$127.12 with HORIZON vs $10,163.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $127.12 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $232.48 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $248.22 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $259.92 | ↓ -22% |
| VACCN | ALL PRODUCTS | $298.93 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $298.93 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $298.93 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $310.46 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $313.88 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $331.16 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $349.09 | ↑ +5% |
| INTERGROUP | WORKERS COMP | $1,010.80 | ↑ +205% |
| INTERGROUP | SHARED SAVINGS | $1,010.80 | ↑ +205% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,010.80 | ↑ +205% |
| HORIZON | OMNIA | $1,062.50 | ↑ +221% |
| BERGEN RISK | ALL PRODUCTS | $1,083.00 | ↑ +227% |
| PRIME HEALTH | WORKERS COMP | $1,155.20 | ↑ +249% |
| PRIME HEALTH | AUTO INSURANCE | $1,155.20 | ↑ +249% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,227.40 | ↑ +271% |
| HORIZON | SHP | $1,266.68 | ↑ +282% |
| CIGNA | HMO | $1,306.68 | ↑ +295% |
| CIGNA | PPO | $1,306.68 | ↑ +295% |
| HORIZON | HMO | $1,311.01 | ↑ +296% |
| HORIZON | INDEMNITY | $1,328.34 | ↑ +301% |
| QUALCARE | WORKERS COMP | $1,337.14 | ↑ +304% |
| QUALCARE | HMO | $1,337.14 | ↑ +304% |
| QUALCARE | PPO | $1,337.14 | ↑ +304% |
| HORIZON | PPO | $1,341.91 | ↑ +305% |
| AMERIHEALTH | LOCAL HMO | $1,366.02 | ↑ +312% |
| AMERIHEALTH | REGIONAL HMO | $1,366.02 | ↑ +312% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +793% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1007% |
| AETNA | ASA | $4,025.00 | ↑ +1115% |
| AETNA | PPO | $4,025.00 | ↑ +1115% |
| AETNA | HMO | $4,025.00 | ↑ +1115% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2368% |
| HORIZON | PIP | $8,615.00 | ↑ +2501% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2969% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove eyelid lesions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $104.62 – $653.38 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $105.51 – $670.76 |
| Community Medical Center | Toms River | $3,786.00 | $108.05 – $650.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $104.24 – $667.41 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $107.70 – $670.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $114.41 – $700.56 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $208.48 – $658.43 |
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |