Subq njx filling matrl 1cc/< at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$220.12
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.
$935.00
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.
$109.84 with KARNA vs $10,692.00 with AETNA — 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 | $109.84 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $150.54 | ↓ -32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.73 | ↓ -27% |
| CLOVER | MEDICARE ADVANTAGE | $168.30 | ↓ -24% |
| AMERIGROUP | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| VACCN | ALL PRODUCTS | $198.70 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $198.70 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $198.70 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $201.03 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $208.64 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $220.12 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $654.50 | ↑ +197% |
| INTERGROUP | SHARED SAVINGS | $654.50 | ↑ +197% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $654.50 | ↑ +197% |
| HORIZON | OMNIA | $687.97 | ↑ +213% |
| BERGEN RISK | ALL PRODUCTS | $701.25 | ↑ +219% |
| PRIME HEALTH | WORKERS COMP | $748.00 | ↑ +240% |
| PRIME HEALTH | AUTO INSURANCE | $748.00 | ↑ +240% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $794.75 | ↑ +261% |
| HORIZON | SHP | $820.18 | ↑ +273% |
| CIGNA | PPO | $846.08 | ↑ +284% |
| CIGNA | HMO | $846.08 | ↑ +284% |
| HORIZON | HMO | $848.89 | ↑ +286% |
| HORIZON | INDEMNITY | $860.11 | ↑ +291% |
| QUALCARE | PPO | $865.81 | ↑ +293% |
| QUALCARE | HMO | $865.81 | ↑ +293% |
| QUALCARE | WORKERS COMP | $865.81 | ↑ +293% |
| HORIZON | PPO | $868.90 | ↑ +295% |
| AMERIHEALTH | LOCAL HMO | $884.51 | ↑ +302% |
| AMERIHEALTH | REGIONAL HMO | $884.51 | ↑ +302% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +794% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +1244% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1566% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +3613% |
| HORIZON | PIP | $8,615.00 | ↑ +3814% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +4517% |
| AETNA | ASA | $10,692.00 | ↑ +4757% |
| AETNA | PPO | $10,692.00 | ↑ +4757% |
| AETNA | HMO | $10,692.00 | ↑ +4757% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Subq njx filling matrl 1cc/< at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |
| Hackensack University Medical Center | Hackensack | $234.00 | $109.84 – $245.70 |
| Ocean University Medical Center | Brick | $217.16 | $106.69 – $260.59 |
| Jersey Shore University Medical Center | Neptune City | $219.93 | $106.69 – $263.92 |
| Palisades Medical Center | North Bergen | $234.00 | $109.84 – $255.06 |
| Raritan Bay Medical Center | Perth Amboy | $220.12 | $109.84 – $264.15 |
| Riverview Medical Center | Red Bank | $219.93 | $106.69 – $263.92 |
| Southern Ocean Medical Center | Manahawkin | $217.16 | $106.69 – $260.59 |