Special teletx port plan at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$405.54
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.
$2,954.00
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.
$179.84 with KARNA vs $2,997.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $179.84 | ↓ -56% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $293.00 | ↓ -28% |
| WELLCARE | MANAGED MEDICAID | $366.07 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $366.07 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $366.07 | ↓ -10% |
| VACCN | ALL PRODUCTS | $366.07 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $366.07 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $384.37 | ↓ -5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $405.54 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $475.59 | ↑ +17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $507.79 | ↑ +25% |
| HORIZON | HMO | $509.00 | ↑ +26% |
| HORIZON | WORKERS COMP | $526.00 | ↑ +30% |
| CLOVER | MEDICARE ADVANTAGE | $531.72 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $635.11 | ↑ +57% |
| AMERIHEALTH | LOCAL HMO | $939.96 | ↑ +132% |
| AMERIHEALTH | REGIONAL HMO | $939.96 | ↑ +132% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $1,477.00 | ↑ +264% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,565.62 | ↑ +286% |
| HORIZON | INDEMNITY | $1,798.99 | ↑ +344% |
| HORIZON | PPO | $1,798.99 | ↑ +344% |
| HORIZON | SHP | $1,798.99 | ↑ +344% |
| HORIZON | OMNIA | $1,798.99 | ↑ +344% |
| HORIZON | PIP | $1,798.99 | ↑ +344% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $1,920.10 | ↑ +373% |
| INTERGROUP | SHARED SAVINGS | $2,067.80 | ↑ +410% |
| INTERGROUP | WORKERS COMP | $2,067.80 | ↑ +410% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,067.80 | ↑ +410% |
| BERGEN RISK | ALL PRODUCTS | $2,215.50 | ↑ +446% |
| QUALCARE | HMO | $2,283.44 | ↑ +463% |
| QUALCARE | PPO | $2,283.44 | ↑ +463% |
| QUALCARE | WORKERS COMP | $2,283.44 | ↑ +463% |
| PRIME HEALTH | WORKERS COMP | $2,363.20 | ↑ +483% |
| PRIME HEALTH | AUTO INSURANCE | $2,363.20 | ↑ +483% |
| AETNA | ASA | $2,481.36 | ↑ +512% |
| AETNA | HMO | $2,481.36 | ↑ +512% |
| AETNA | PPO | $2,481.36 | ↑ +512% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,510.90 | ↑ +519% |
| CIGNA | HMO | $2,843.52 | ↑ +601% |
| CIGNA | PPO | $2,843.52 | ↑ +601% |
| OXFORD | ALL PRODUCTS | $2,966.00 | ↑ +631% |
| UNITED HEALTHCARE | HMO | $2,997.00 | ↑ +639% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Special teletx port plan at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $536.07 | $48.66 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $629.34 | $125.78 – $1,969.00 |
| Community Medical Center | Toms River | $592.33 | $115.39 – $2,352.00 |
| Clara Maass Medical Center | Belleville | $586.55 | $125.78 – $1,440.00 |
| Newark Beth Israel Medical Center | Newark | $618.65 | $50.10 – $1,555.00 |
| Jersey City Medical Center | Jersey City | $593.47 | $62.98 – $1,566.00 |
| Monmouth Medical Center | Long Branch | $624.89 | $118.77 – $1,715.00 |
| Bayshore Medical Center | Holmdel | $405.19 | $405.19 – $2,774.00 |