Valvuloplasty aortic at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$6,316.26
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.
$13,624.00
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.
$1,158.42 with HORIZON vs $25,800.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,158.42 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $2,193.46 | ↓ -65% |
| KARNA | MEDICARE ADVANTAGE | $2,204.42 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,341.97 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $2,452.32 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,929.16 | ↓ -54% |
| AETNA | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| VACCN | ALL PRODUCTS | $5,701.52 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $5,701.52 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $5,701.52 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,986.60 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,316.26 | ↑ +0% |
| HORIZON | OMNIA | $7,564.00 | ↑ +20% |
| HORIZON | WORKERS COMP | $8,173.00 | ↑ +29% |
| HORIZON | PIP | $8,615.00 | ↑ +36% |
| HORIZON | SHP | $8,665.00 | ↑ +37% |
| QUALCARE | WORKERS COMP | $9,170.00 | ↑ +45% |
| QUALCARE | HMO | $9,342.00 | ↑ +48% |
| QUALCARE | PPO | $9,342.00 | ↑ +48% |
| HORIZON | HMO | $9,360.00 | ↑ +48% |
| HORIZON | INDEMNITY | $9,469.00 | ↑ +50% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,536.80 | ↑ +51% |
| INTERGROUP | WORKERS COMP | $9,536.80 | ↑ +51% |
| INTERGROUP | SHARED SAVINGS | $9,536.80 | ↑ +51% |
| HORIZON | PPO | $9,581.00 | ↑ +52% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +61% |
| BERGEN RISK | ALL PRODUCTS | $10,218.00 | ↑ +62% |
| AETNA | HMO | $10,692.00 | ↑ +69% |
| AETNA | PPO | $10,692.00 | ↑ +69% |
| AETNA | ASA | $10,692.00 | ↑ +69% |
| AMERIHEALTH | LOCAL HMO | $10,711.00 | ↑ +70% |
| PRIME HEALTH | AUTO INSURANCE | $10,899.20 | ↑ +73% |
| PRIME HEALTH | WORKERS COMP | $10,899.20 | ↑ +73% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,580.40 | ↑ +83% |
| AMERIHEALTH | REGIONAL HMO | $11,904.00 | ↑ +88% |
| CIGNA | HMO | $17,039.00 | ↑ +170% |
| OXFORD | ALL PRODUCTS | $20,656.00 | ↑ +227% |
| CIGNA | PPO | $22,953.00 | ↑ +263% |
| UNITED HEALTHCARE | HMO | $25,800.00 | ↑ +308% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty aortic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,662.52 | $949.90 – $12,793.30 |
| Clara Maass Medical Center | Belleville | $1,987.60 | $949.90 – $12,729.33 |
| Newark Beth Israel Medical Center | Newark | $2,617.28 | $677.33 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $2,574.64 | $851.51 – $13,361.76 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $2,204.42 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $2,150.15 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $6,310.78 | $2,150.15 – $7,572.94 |