Repair of eye wound at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$5,716.03
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.
$7,933.00
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.
$476.46 with HORIZON vs $11,287.00 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 | $476.46 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $1,277.21 | ↓ -78% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,363.68 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $1,427.94 | ↓ -75% |
| KARNA | MEDICARE ADVANTAGE | $1,434.02 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,705.60 | ↓ -70% |
| VACCN | ALL PRODUCTS | $5,159.71 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,159.71 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,159.71 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $5,159.71 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,159.71 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $5,159.71 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,417.70 | ↓ -5% |
| INTERGROUP | WORKERS COMP | $5,553.10 | ↓ -3% |
| INTERGROUP | SHARED SAVINGS | $5,553.10 | ↓ -3% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,553.10 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,716.03 | ↑ +0% |
| HORIZON | OMNIA | $5,837.10 | ↑ +2% |
| BERGEN RISK | ALL PRODUCTS | $5,949.75 | ↑ +4% |
| PRIME HEALTH | WORKERS COMP | $6,346.40 | ↑ +11% |
| PRIME HEALTH | AUTO INSURANCE | $6,346.40 | ↑ +11% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,743.05 | ↑ +18% |
| HORIZON | SHP | $6,958.83 | ↑ +22% |
| CIGNA | HMO | $7,178.57 | ↑ +26% |
| CIGNA | PPO | $7,178.57 | ↑ +26% |
| HORIZON | HMO | $7,202.37 | ↑ +26% |
| HORIZON | INDEMNITY | $7,297.57 | ↑ +28% |
| QUALCARE | HMO | $7,345.96 | ↑ +29% |
| QUALCARE | WORKERS COMP | $7,345.96 | ↑ +29% |
| QUALCARE | PPO | $7,345.96 | ↑ +29% |
| HORIZON | PPO | $7,372.14 | ↑ +29% |
| AMERIHEALTH | LOCAL HMO | $7,504.62 | ↑ +31% |
| AMERIHEALTH | REGIONAL HMO | $7,504.62 | ↑ +31% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +43% |
| HORIZON | PIP | $8,615.00 | ↑ +51% |
| OXFORD | ALL PRODUCTS | $9,050.00 | ↑ +58% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +78% |
| AETNA | PPO | $10,692.00 | ↑ +87% |
| AETNA | HMO | $10,692.00 | ↑ +87% |
| AETNA | ASA | $10,692.00 | ↑ +87% |
| UNITED HEALTHCARE | HMO | $11,287.00 | ↑ +97% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair of eye wound at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $339.51 – $11,277.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $395.46 – $11,577.56 |
| Community Medical Center | Toms River | $3,786.00 | $404.99 – $11,221.49 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $390.70 – $11,519.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $349.49 – $11,577.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $428.81 – $12,092.00 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $781.39 – $11,365.05 |
| Bayshore Medical Center | Holmdel | $5,711.08 | $5,711.08 – $6,853.29 |