Renal cyst study s&i at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$607.42
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.
$1,118.00
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.
$180.00 with AETNA vs $1,384.69 with OXFORD — 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 | $180.00 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $192.18 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $201.24 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $212.98 | ↓ -65% |
| KARNA | MEDICARE ADVANTAGE | $230.09 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $240.37 | ↓ -60% |
| WELLCARE | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $548.30 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| VACCN | ALL PRODUCTS | $548.30 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $548.30 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $575.72 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $607.42 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $782.60 | ↑ +29% |
| INTERGROUP | SHARED SAVINGS | $782.60 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $782.60 | ↑ +29% |
| HORIZON | PIP | $817.26 | ↑ +35% |
| HORIZON | WORKERS COMP | $817.26 | ↑ +35% |
| HORIZON | OMNIA | $822.62 | ↑ +35% |
| BERGEN RISK | ALL PRODUCTS | $838.50 | ↑ +38% |
| QUALCARE | WORKERS COMP | $864.21 | ↑ +42% |
| QUALCARE | PPO | $864.21 | ↑ +42% |
| QUALCARE | HMO | $864.21 | ↑ +42% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $894.40 | ↑ +47% |
| PRIME HEALTH | WORKERS COMP | $894.40 | ↑ +47% |
| PRIME HEALTH | AUTO INSURANCE | $894.40 | ↑ +47% |
| AETNA | ASA | $939.12 | ↑ +55% |
| AETNA | PPO | $939.12 | ↑ +55% |
| AETNA | HMO | $939.12 | ↑ +55% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $950.30 | ↑ +56% |
| HORIZON | SHP | $980.71 | ↑ +61% |
| HORIZON | HMO | $1,015.03 | ↑ +67% |
| HORIZON | INDEMNITY | $1,028.45 | ↑ +69% |
| HORIZON | PPO | $1,038.96 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $1,057.63 | ↑ +74% |
| AMERIHEALTH | LOCAL HMO | $1,057.63 | ↑ +74% |
| CIGNA | HMO | $1,076.19 | ↑ +77% |
| CIGNA | PPO | $1,076.19 | ↑ +77% |
| UNITED HEALTHCARE | HMO | $1,384.69 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $1,384.69 | ↑ +128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Renal cyst study s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $20.40 – $1,198.46 |
| Community Medical Center | Toms River | $362.95 | $45.92 – $1,192.47 |
| Bayshore Medical Center | Holmdel | $606.89 | $93.88 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $41.63 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $93.88 – $599.23 |
| Jersey Shore University Medical Center | Neptune City | $606.89 | $93.88 – $661.51 |
| Palisades Medical Center | North Bergen | $645.71 | $45.92 – $1,307.42 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $63.00 – $1,307.42 |