Tissue culture tumor at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$147.52
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.
$1,265.00
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.
$99.00 with UNITED HEALTHCARE vs $694.26 with CIGNA — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $99.00 | ↓ -33% |
| AETNA | MANAGED MEDICAID | $113.51 | ↓ -23% |
| HORIZON | MANAGED MEDICAID | $134.30 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $147.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $147.52 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $147.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $147.52 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $147.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $147.52 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $147.52 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $147.52 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $147.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $147.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $154.90 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $196.20 | ↑ +33% |
| UNITED HEALTHCARE | HMO | $321.59 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $321.59 | ↑ +118% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $493.50 | ↑ +235% |
| INTERGROUP | SHARED SAVINGS | $493.50 | ↑ +235% |
| INTERGROUP | WORKERS COMP | $493.50 | ↑ +235% |
| HORIZON | WORKERS COMP | $515.36 | ↑ +249% |
| HORIZON | PIP | $515.36 | ↑ +249% |
| HORIZON | OMNIA | $518.74 | ↑ +252% |
| BERGEN RISK | ALL PRODUCTS | $528.75 | ↑ +258% |
| QUALCARE | HMO | $544.97 | ↑ +269% |
| QUALCARE | WORKERS COMP | $544.97 | ↑ +269% |
| QUALCARE | PPO | $544.97 | ↑ +269% |
| PRIME HEALTH | WORKERS COMP | $564.00 | ↑ +282% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $564.00 | ↑ +282% |
| PRIME HEALTH | AUTO INSURANCE | $564.00 | ↑ +282% |
| AETNA | HMO | $592.20 | ↑ +301% |
| AETNA | ASA | $592.20 | ↑ +301% |
| AETNA | PPO | $592.20 | ↑ +301% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $599.25 | ↑ +306% |
| HORIZON | SHP | $618.43 | ↑ +319% |
| HORIZON | HMO | $640.07 | ↑ +334% |
| HORIZON | INDEMNITY | $648.53 | ↑ +340% |
| HORIZON | PPO | $655.16 | ↑ +344% |
| AMERIHEALTH | REGIONAL HMO | $666.93 | ↑ +352% |
| AMERIHEALTH | LOCAL HMO | $666.93 | ↑ +352% |
| CIGNA | PPO | $694.26 | ↑ +371% |
| CIGNA | HMO | $694.26 | ↑ +371% |
Visitor-reported prices
Comments
Tissue culture tumor at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $162.27 | $69.33 – $698.74 |
| Cooperman Barnabas Medical Center | Livingston | $162.27 | $69.33 – $602.18 |
| Community Medical Center | Toms River | $162.27 | $69.33 – $602.18 |
| Clara Maass Medical Center | Belleville | $162.27 | $69.33 – $602.18 |
| Newark Beth Israel Medical Center | Newark | $162.27 | $69.33 – $602.18 |
| Jersey City Medical Center | Jersey City | $162.27 | $69.33 – $602.18 |
| Monmouth Medical Center | Long Branch | $162.27 | $69.33 – $602.18 |
| Bayshore Medical Center | Holmdel | $147.52 | $147.52 – $675.99 |