Tx atrial fib pulm vein isol at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$27,177.37
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.
$42,264.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $40,683.33 with CIGNA — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -100% |
| HORIZON | HMO | $181.00 | ↓ -99% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -99% |
| HORIZON | MANAGED MEDICAID | $1,184.90 | ↓ -96% |
| KARNA | MEDICARE ADVANTAGE | $1,559.16 | ↓ -94% |
| AETNA | MANAGED MEDICAID | $6,804.50 | ↓ -75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,265.18 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $7,607.52 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,086.76 | ↓ -67% |
| AMERIGROUP | MEDICARE ADVANTAGE | $9,213.55 | ↓ -66% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $21,132.00 | ↓ -22% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,850.00 | ↓ -20% |
| VACCN | ALL PRODUCTS | $24,532.30 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $24,532.30 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $24,532.30 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $24,532.30 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $24,532.30 | ↓ -10% |
| HORIZON | SHP | $25,738.78 | ↓ -5% |
| HORIZON | PIP | $25,738.78 | ↓ -5% |
| HORIZON | OMNIA | $25,738.78 | ↓ -5% |
| HORIZON | INDEMNITY | $25,738.78 | ↓ -5% |
| HORIZON | PPO | $25,738.78 | ↓ -5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $25,758.92 | ↓ -5% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $27,471.60 | ↑ +1% |
| INTERGROUP | SHARED SAVINGS | $29,584.80 | ↑ +9% |
| INTERGROUP | WORKERS COMP | $29,584.80 | ↑ +9% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $29,584.80 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $31,698.00 | ↑ +17% |
| PRIME HEALTH | WORKERS COMP | $33,811.20 | ↑ +24% |
| PRIME HEALTH | AUTO INSURANCE | $33,811.20 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $35,924.40 | ↑ +32% |
| AETNA | PPO | $37,898.13 | ↑ +39% |
| AETNA | ASA | $37,898.13 | ↑ +39% |
| AETNA | HMO | $37,898.13 | ↑ +39% |
| QUALCARE | WORKERS COMP | $39,136.46 | ↑ +44% |
| QUALCARE | HMO | $39,136.46 | ↑ +44% |
| QUALCARE | PPO | $39,136.46 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $39,300.00 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $39,588.00 | ↑ +46% |
| AMERIHEALTH | REGIONAL HMO | $39,981.74 | ↑ +47% |
| AMERIHEALTH | LOCAL HMO | $39,981.74 | ↑ +47% |
| CIGNA | HMO | $40,683.33 | ↑ +50% |
| CIGNA | PPO | $40,683.33 | ↑ +50% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $10,116.10 | $27,523.28 – $55,046.56 |
| Clara Maass Medical Center | Belleville | $6,321.24 | $27,523.28 – $54,771.33 |
| Newark Beth Israel Medical Center | Newark | $9,944.24 | $480.04 – $55,046.56 |
| Jersey City Medical Center | Jersey City | $11,099.42 | $603.48 – $57,492.51 |
| Bayshore Medical Center | Holmdel | $27,153.82 | $27,153.82 – $32,584.59 |
| Hackensack University Medical Center | Hackensack | $28,890.71 | $1,559.16 – $30,335.24 |
| Ocean University Medical Center | Brick | $26,810.86 | $104.00 – $32,173.03 |
| Jersey Shore University Medical Center | Neptune City | $27,153.82 | $1,523.86 – $32,584.59 |