Ventricular puncture prev burr hole without inj 61020 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$986.28
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.
$3,518.00
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.
$84.00 with HORIZON vs $9,236.00 with HORIZON — 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 | $84.00 | ↓ -91% |
| KARNA | MEDICARE ADVANTAGE | $229.28 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $566.40 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $604.74 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $633.24 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $756.37 | ↓ -23% |
| HORIZON | MEDICARE ADVANTAGE | $890.29 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $890.29 | ↓ -10% |
| VACCN | ALL PRODUCTS | $890.29 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $890.29 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $890.29 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $890.29 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $934.80 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $986.28 | ↑ +0% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,769.55 | ↑ +79% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $1,966.56 | ↑ +99% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,462.60 | ↑ +150% |
| INTERGROUP | WORKERS COMP | $2,462.60 | ↑ +150% |
| INTERGROUP | SHARED SAVINGS | $2,462.60 | ↑ +150% |
| HORIZON | PIP | $2,571.66 | ↑ +161% |
| HORIZON | WORKERS COMP | $2,571.66 | ↑ +161% |
| BERGEN RISK | ALL PRODUCTS | $2,638.50 | ↑ +168% |
| PRIME HEALTH | WORKERS COMP | $2,814.40 | ↑ +185% |
| PRIME HEALTH | AUTO INSURANCE | $2,814.40 | ↑ +185% |
| OXFORD | ALL PRODUCTS | $2,912.20 | ↑ +195% |
| UNITED HEALTHCARE | HMO | $2,925.22 | ↑ +197% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,990.30 | ↑ +203% |
| AETNA | PPO | $3,154.59 | ↑ +220% |
| AETNA | HMO | $3,154.59 | ↑ +220% |
| AETNA | ASA | $3,154.59 | ↑ +220% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,166.20 | ↑ +221% |
| CIGNA | HMO | $3,183.44 | ↑ +223% |
| CIGNA | PPO | $3,183.44 | ↑ +223% |
| QUALCARE | HMO | $3,257.67 | ↑ +230% |
| QUALCARE | PPO | $3,257.67 | ↑ +230% |
| QUALCARE | WORKERS COMP | $3,257.67 | ↑ +230% |
| AMERIHEALTH | REGIONAL HMO | $3,328.03 | ↑ +237% |
| AMERIHEALTH | LOCAL HMO | $3,328.03 | ↑ +237% |
| HORIZON | OMNIA | $7,292.00 | ↑ +639% |
| HORIZON | SHP | $8,353.00 | ↑ +747% |
| HORIZON | HMO | $9,023.00 | ↑ +815% |
| HORIZON | INDEMNITY | $9,128.00 | ↑ +825% |
| HORIZON | PPO | $9,236.00 | ↑ +836% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ventricular puncture prev burr hole without inj 61020 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $54.99 – $1,945.96 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $69.72 – $1,997.66 |
| Community Medical Center | Toms River | $3,786.00 | $71.40 – $1,936.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $68.88 – $1,987.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $56.61 – $1,997.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $71.16 – $2,086.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $137.76 – $1,961.01 |
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |