Treatment of penis lesion at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$3,170.64
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.
?
What you pay up front if you don't use insurance.
$4,759.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$275.88 with HORIZON vs $11,287.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $275.88 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $766.20 | ↓ -76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $818.07 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $856.62 | ↓ -73% |
| KARNA | MEDICARE ADVANTAGE | $915.03 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,023.19 | ↓ -68% |
| VACCN | ALL PRODUCTS | $2,862.05 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,862.05 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $2,862.05 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $2,862.05 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $2,862.05 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $2,862.05 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,005.15 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,170.64 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,331.30 | ↑ +5% |
| INTERGROUP | SHARED SAVINGS | $3,331.30 | ↑ +5% |
| INTERGROUP | WORKERS COMP | $3,331.30 | ↑ +5% |
| HORIZON | OMNIA | $3,501.67 | ↑ +10% |
| BERGEN RISK | ALL PRODUCTS | $3,569.25 | ↑ +13% |
| PRIME HEALTH | AUTO INSURANCE | $3,807.20 | ↑ +20% |
| PRIME HEALTH | WORKERS COMP | $3,807.20 | ↑ +20% |
| AETNA | ASA | $4,025.00 | ↑ +27% |
| AETNA | PPO | $4,025.00 | ↑ +27% |
| AETNA | HMO | $4,025.00 | ↑ +27% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,045.15 | ↑ +28% |
| HORIZON | SHP | $4,174.59 | ↑ +32% |
| CIGNA | PPO | $4,306.42 | ↑ +36% |
| CIGNA | HMO | $4,306.42 | ↑ +36% |
| HORIZON | HMO | $4,320.70 | ↑ +36% |
| HORIZON | INDEMNITY | $4,377.80 | ↑ +38% |
| QUALCARE | PPO | $4,406.83 | ↑ +39% |
| QUALCARE | WORKERS COMP | $4,406.83 | ↑ +39% |
| QUALCARE | HMO | $4,406.83 | ↑ +39% |
| HORIZON | PPO | $4,422.54 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $4,502.01 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $4,502.01 | ↑ +42% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +158% |
| HORIZON | PIP | $8,615.00 | ↑ +172% |
| OXFORD | ALL PRODUCTS | $9,050.00 | ↑ +185% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +221% |
| UNITED HEALTHCARE | HMO | $11,287.00 | ↑ +256% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of penis lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $234.76 – $6,255.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $228.98 – $6,421.98 |
| Community Medical Center | Toms River | $3,786.00 | $234.50 – $6,224.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $226.22 – $6,389.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $241.67 – $6,421.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $248.29 – $6,707.33 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $452.44 – $6,304.10 |
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |