Unlisted px ther rad tx plng at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$147.09
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.
$408.00
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.
$65.69 with AETNA vs $2,997.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $65.69 | ↓ -55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.14 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $73.44 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $87.72 | ↓ -40% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.94 | ↓ -40% |
| AMERIHEALTH | LOCAL HMO | $129.83 | ↓ -12% |
| AMERIHEALTH | REGIONAL HMO | $129.83 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $132.77 | ↓ -10% |
| VACCN | ALL PRODUCTS | $132.77 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $132.77 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $132.77 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $132.77 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $139.41 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $147.09 | ↑ +0% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $204.00 | ↑ +39% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $216.24 | ↑ +47% |
| HORIZON | SHP | $248.47 | ↑ +69% |
| HORIZON | INDEMNITY | $248.47 | ↑ +69% |
| HORIZON | PPO | $248.47 | ↑ +69% |
| HORIZON | PIP | $248.47 | ↑ +69% |
| HORIZON | OMNIA | $248.47 | ↑ +69% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $265.20 | ↑ +80% |
| INTERGROUP | SHARED SAVINGS | $285.60 | ↑ +94% |
| INTERGROUP | WORKERS COMP | $285.60 | ↑ +94% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $285.60 | ↑ +94% |
| HORIZON | WORKERS COMP | $298.25 | ↑ +103% |
| BERGEN RISK | ALL PRODUCTS | $306.00 | ↑ +108% |
| QUALCARE | WORKERS COMP | $315.38 | ↑ +114% |
| QUALCARE | HMO | $315.38 | ↑ +114% |
| QUALCARE | PPO | $315.38 | ↑ +114% |
| PRIME HEALTH | AUTO INSURANCE | $326.40 | ↑ +122% |
| PRIME HEALTH | WORKERS COMP | $326.40 | ↑ +122% |
| AETNA | ASA | $342.72 | ↑ +133% |
| AETNA | HMO | $342.72 | ↑ +133% |
| AETNA | PPO | $342.72 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $346.80 | ↑ +136% |
| HORIZON | HMO | $370.42 | ↑ +152% |
| CIGNA | HMO | $392.74 | ↑ +167% |
| CIGNA | PPO | $392.74 | ↑ +167% |
| OXFORD | ALL PRODUCTS | $2,966.00 | ↑ +1916% |
| UNITED HEALTHCARE | HMO | $2,997.00 | ↑ +1938% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px ther rad tx plng at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $156.36 | $125.09 – $3,250.00 |
| Ocean University Medical Center | Brick | $145.10 | $132.77 – $2,630.00 |
| Jersey Shore University Medical Center | Neptune City | $146.96 | $146.96 – $2,789.00 |
| Palisades Medical Center | North Bergen | $156.36 | $156.36 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $147.09 | $147.09 – $2,746.00 |
| Riverview Medical Center | Red Bank | $146.96 | $146.96 – $2,749.00 |
| Southern Ocean Medical Center | Manahawkin | $145.10 | $145.10 – $2,703.00 |