Revision of iris at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$607.75
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.
$1,620.00
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.
$260.82 with AETNA vs $10,163.00 with BRIGHTON HEALTH PLAN — 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 | $260.82 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $278.48 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $291.60 | ↓ -52% |
| HORIZON | MANAGED MEDICAID | $338.80 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $348.30 | ↓ -43% |
| VACCN | ALL PRODUCTS | $548.60 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $548.60 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $548.60 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $548.60 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $548.60 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $548.60 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $576.03 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $607.75 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $913.31 | ↑ +50% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,134.00 | ↑ +87% |
| INTERGROUP | WORKERS COMP | $1,134.00 | ↑ +87% |
| INTERGROUP | SHARED SAVINGS | $1,134.00 | ↑ +87% |
| HORIZON | OMNIA | $1,192.00 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $1,215.00 | ↑ +100% |
| PRIME HEALTH | WORKERS COMP | $1,296.00 | ↑ +113% |
| PRIME HEALTH | AUTO INSURANCE | $1,296.00 | ↑ +113% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,377.00 | ↑ +127% |
| HORIZON | SHP | $1,421.06 | ↑ +134% |
| CIGNA | HMO | $1,465.94 | ↑ +141% |
| CIGNA | PPO | $1,465.94 | ↑ +141% |
| HORIZON | HMO | $1,470.80 | ↑ +142% |
| HORIZON | INDEMNITY | $1,490.24 | ↑ +145% |
| QUALCARE | PPO | $1,500.12 | ↑ +147% |
| QUALCARE | WORKERS COMP | $1,500.12 | ↑ +147% |
| QUALCARE | HMO | $1,500.12 | ↑ +147% |
| HORIZON | PPO | $1,505.47 | ↑ +148% |
| AMERIHEALTH | LOCAL HMO | $1,532.52 | ↑ +152% |
| AMERIHEALTH | REGIONAL HMO | $1,532.52 | ↑ +152% |
| AETNA | ASA | $4,025.00 | ↑ +562% |
| AETNA | PPO | $4,025.00 | ↑ +562% |
| AETNA | HMO | $4,025.00 | ↑ +562% |
| OXFORD | ALL PRODUCTS | $4,408.00 | ↑ +625% |
| UNITED HEALTHCARE | HMO | $5,482.00 | ↑ +802% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +1245% |
| HORIZON | PIP | $8,615.00 | ↑ +1318% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1572% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Revision of iris at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $244.33 – $1,199.10 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $281.20 – $1,230.98 |
| Community Medical Center | Toms River | $3,786.00 | $287.98 – $1,193.10 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $277.82 – $1,224.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $251.52 – $1,230.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $304.92 – $1,285.66 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $555.63 – $1,208.37 |
| Bayshore Medical Center | Holmdel | $607.22 | $607.22 – $728.67 |