Unlisted transfusion med px at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$27.13
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.
$1,239.00
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.
$24.49 with HORIZON vs $654.57 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| VACCN | ALL PRODUCTS | $24.49 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $24.49 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $24.49 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $25.71 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.13 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $53.78 | ↑ +98% |
| OXFORD | ALL PRODUCTS | $53.78 | ↑ +98% |
| AETNA | MANAGED MEDICAID | $109.48 | ↑ +304% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $116.89 | ↑ +331% |
| HORIZON | MANAGED MEDICAID | $129.54 | ↑ +377% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $146.20 | ↑ +439% |
| CLOVER | MEDICARE ADVANTAGE | $223.02 | ↑ +722% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $476.00 | ↑ +1655% |
| INTERGROUP | SHARED SAVINGS | $476.00 | ↑ +1655% |
| INTERGROUP | WORKERS COMP | $476.00 | ↑ +1655% |
| HORIZON | PIP | $497.08 | ↑ +1732% |
| HORIZON | WORKERS COMP | $497.08 | ↑ +1732% |
| HORIZON | OMNIA | $500.34 | ↑ +1744% |
| BERGEN RISK | ALL PRODUCTS | $510.00 | ↑ +1780% |
| QUALCARE | HMO | $525.64 | ↑ +1837% |
| QUALCARE | WORKERS COMP | $525.64 | ↑ +1837% |
| QUALCARE | PPO | $525.64 | ↑ +1837% |
| PRIME HEALTH | WORKERS COMP | $544.00 | ↑ +1905% |
| PRIME HEALTH | AUTO INSURANCE | $544.00 | ↑ +1905% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $544.00 | ↑ +1905% |
| AETNA | HMO | $571.20 | ↑ +2005% |
| AETNA | PPO | $571.20 | ↑ +2005% |
| AETNA | ASA | $571.20 | ↑ +2005% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $578.00 | ↑ +2030% |
| HORIZON | SHP | $596.50 | ↑ +2099% |
| HORIZON | HMO | $617.37 | ↑ +2176% |
| HORIZON | INDEMNITY | $625.53 | ↑ +2206% |
| HORIZON | PPO | $631.92 | ↑ +2229% |
| AMERIHEALTH | REGIONAL HMO | $643.28 | ↑ +2271% |
| AMERIHEALTH | LOCAL HMO | $643.28 | ↑ +2271% |
| CIGNA | PPO | $654.57 | ↑ +2313% |
| CIGNA | HMO | $654.57 | ↑ +2313% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted transfusion med px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $159.13 | $11.73 – $54.96 |
| Clara Maass Medical Center | Belleville | $149.37 | $11.73 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $156.43 | $11.73 – $54.96 |
| Jersey City Medical Center | Jersey City | $156.05 | $11.73 – $57.39 |
| Bayshore Medical Center | Holmdel | $27.11 | $20.28 – $50.64 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $56.98 |
| Ocean University Medical Center | Brick | $26.76 | $20.28 – $50.64 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $20.28 – $55.14 |