Unlisted px arthroscopy at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$265.74
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.
$5,893.00
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.
$239.88 with HORIZON vs $15,984.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $239.88 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $239.88 | ↓ -10% |
| VACCN | ALL PRODUCTS | $239.88 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $239.88 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $239.88 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $239.88 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $251.87 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.74 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $948.77 | ↑ +257% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,013.01 | ↑ +281% |
| CLOVER | MEDICARE ADVANTAGE | $1,060.74 | ↑ +299% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,267.00 | ↑ +377% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +640% |
| OXFORD | ALL PRODUCTS | $2,958.00 | ↑ +1013% |
| UNITED HEALTHCARE | HMO | $3,667.00 | ↑ +1280% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,125.10 | ↑ +1452% |
| INTERGROUP | SHARED SAVINGS | $4,125.10 | ↑ +1452% |
| INTERGROUP | WORKERS COMP | $4,125.10 | ↑ +1452% |
| HORIZON | OMNIA | $4,336.07 | ↑ +1532% |
| BERGEN RISK | ALL PRODUCTS | $4,419.75 | ↑ +1563% |
| PRIME HEALTH | AUTO INSURANCE | $4,714.40 | ↑ +1674% |
| PRIME HEALTH | WORKERS COMP | $4,714.40 | ↑ +1674% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,009.05 | ↑ +1785% |
| HORIZON | SHP | $5,169.34 | ↑ +1845% |
| CIGNA | HMO | $5,332.58 | ↑ +1907% |
| CIGNA | PPO | $5,332.58 | ↑ +1907% |
| HORIZON | HMO | $5,350.25 | ↑ +1913% |
| HORIZON | INDEMNITY | $5,420.97 | ↑ +1940% |
| QUALCARE | WORKERS COMP | $5,456.92 | ↑ +1953% |
| QUALCARE | PPO | $5,456.92 | ↑ +1953% |
| QUALCARE | HMO | $5,456.92 | ↑ +1953% |
| HORIZON | PPO | $5,476.36 | ↑ +1961% |
| AMERIHEALTH | REGIONAL HMO | $5,574.78 | ↑ +1998% |
| AMERIHEALTH | LOCAL HMO | $5,574.78 | ↑ +1998% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +2976% |
| HORIZON | PIP | $8,615.00 | ↑ +3142% |
| AETNA | PPO | $10,692.00 | ↑ +3923% |
| AETNA | HMO | $10,692.00 | ↑ +3923% |
| AETNA | ASA | $10,692.00 | ↑ +3923% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +5915% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px arthroscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $262.16 – $3,195.47 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.13 – $538.26 |
| Community Medical Center | Toms River | $3,786.00 | $262.16 – $521.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $269.13 – $535.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.13 – $538.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $282.50 – $562.18 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $265.51 – $528.36 |
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $15,984.00 |