JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Above knee flex cover system HCPCS L5964 | not published | $1,553.00 | $968.17 – $1,946.60 | 4 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $1,454.31 – $4,303.39 | 5 |
| Above knee leather socket HCPCS L5642 | not published | not published | $400.00 – $1,287.80 | 5 |
| Above knee manual lock HCPCS L5925 | not published | $514.00 | $319.10 – $698.41 | 4 |
| Above knee wood socket HCPCS L5644 | not published | not published | $400.00 – $1,227.67 | 5 |
| Abrasion lesions add-on CPT 15787 | not published | $275.00 | $34.55 – $39.94 | 2 |
| Abrasion lesion single CPT 15786 | $220.12 | $454.00 | $58.08 – $288.75 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,794.93 | $5,005.00 | $397.03 – $1,794.93 | 8 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $2,544.82 – $2,544.82 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $2,544.82 – $2,544.82 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $1.27 – $5.52 | 4 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $2.01 – $5.91 | 4 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $0.51 – $2.17 | 4 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $0.84 – $3.60 | 4 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $2.66 – $11.49 | 4 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | $2,750.00 | $140.26 – $248.48 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $456.00 – $595.10 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | $2.35 | $0.04 – $0.63 | 3 |
| Acetaminophen level CPT 80143 | $18.64 | $222.00 | $16.40 – $87.72 | 13 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | $395.79 | $14.65 – $48.43 | 5 |
| Acetone qualitative CPT 82009 | $4.52 | $77.00 | $4.52 – $21.27 | 13 |
| Acetylcholine receptor modulating antibody CPT 86043 | $12.05 | not published | $4.82 – $16.03 | 10 |
| Acetylcholinesterase assay CPT 82013 | $12.29 | $161.00 | $12.29 – $57.84 | 13 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | $12.18 | $0.31 – $2.28 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $5.67 – $12.41 | 6 |
| Acid perfusion of esophagus CPT 91030 | $587.81 | not published | $58.00 – $942.41 | 9 |
| Acne surgery 10040 CPT 10040 | $220.12 | $298.00 | $74.76 – $220.12 | 8 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $206.14 | $517.00 | $206.14 – $300.52 | 8 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $160.69 | $410.00 | $160.69 – $237.19 | 8 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $102.47 | not published | $84.42 – $158.13 | 9 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $58.91 – $58.91 | 1 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $84.42 – $84.42 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $177.99 | not published | $151.83 – $177.99 | 9 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $142.76 | $616.00 | $104.00 – $2,437.00 | 10 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $33.00 | not published | $16.09 – $69.10 | 9 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $19.31 | $105.00 | $19.31 – $792.00 | 11 |
| Acoustic immitance testing CPT 92570 | $173.33 | $519.00 | $35.50 – $627.00 | 11 |
| Acoustic refl threshold tst CPT 92568 | $43.48 | $176.00 | $25.04 – $627.00 | 11 |
| Acromp/acromionectomy prtl CPT 23130 | $3,594.44 | $7,834.00 | $532.00 – $3,594.44 | 8 |
| Acth stimulation panel CPT 80402 | $86.96 | not published | $86.96 – $409.25 | 14 |
| Acth stimulation panel CPT 80406 | $78.26 | not published | $78.26 – $368.31 | 14 |
| Actigraphy testing CPT 95803 | $65.80 | $239.00 | $59.40 – $2,437.00 | 10 |
| Actinotherapy uv light CPT 96900 | $43.48 | $316.00 | $14.24 – $3,343.00 | 10 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $27.13 | not published | $24.49 – $55.77 | 8 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $47.29 – $47.29 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $42.82 – $42.82 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $27.13 | not published | $24.49 – $51.23 | 8 |
| Acute hepatitis panel CPT 80074 | $47.63 | $660.00 | $33.00 – $224.16 | 13 |
| Acute venous thrombus image CPT 78456 | $1,446.24 | not published | $395.21 – $3,744.78 | 13 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | $130.28 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | $0.11 | $0.03 – $0.12 | 5 |
| #acylcarnitineprfl CPT 82017 | $16.87 | $1,111.00 | $16.87 – $79.39 | 13 |
| Acylcarnitines qual CPT 82016 | $16.49 | not published | $14.19 – $77.61 | 14 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,499.65 – $3,396.42 | 5 |
| Adapt behavior tx phys/qhp CPT 97155 | $177.99 | $206.00 | $21.55 – $759.00 | 10 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | $4,588.00 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | $102.47 | $206.00 | $15.00 – $759.00 | 10 |
| Adding walker to prev cast CPT 29440 | $174.80 | not published | $39.60 – $278.66 | 9 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $269.78 – $768.95 | 5 |
| Add le poly knee custom kafo HCPCS L2387 | not published | $313.00 | $98.08 – $322.87 | 5 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | $822.00 | $518.19 – $1,038.05 | 4 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | $510.00 | $319.89 – $640.81 | 4 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | $548.00 | $343.32 – $687.77 | 4 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | $455.00 | $200.82 – $572.41 | 5 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $476.31 – $1,357.60 | 5 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $242.79 – $692.01 | 5 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $321.28 – $1,033.90 | 5 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | $19.57 | $0.39 – $0.99 | 5 |
| Adenovirus ag ia CPT 87301 | $11.98 | $80.00 | $11.98 – $56.38 | 13 |
| Adenovirus antibody,serum - quest CPT 86603 | $12.87 | $169.00 | $11.00 – $60.57 | 13 |
| Adenovirus assay w/optic CPT 87809 | $21.76 | not published | $19.15 – $102.41 | 14 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $63.28 – $63.28 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | $4,902.00 | $598.40 – $1,926.99 | 2 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.05 – $5.33 | 4 |
| Adh-sendout CPT 84588 | $33.94 | $153.00 | $33.94 – $159.73 | 13 |
| Adj gastric band via subq port CPT 43999 | $1,038.65 | $3,871.00 | $937.56 – $1,038.65 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $7,913.97 | $12,716.00 | $408.82 – $7,913.97 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,026.46 | $5,481.00 | $763.40 – $2,026.46 | 8 |
| Adjustment gastric band HCPCS S2083 | not published | $1,472.00 | $120.56 – $120.56 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | $6.73 | $1.11 – $1.94 | 3 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $61.98 – $61.98 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $78.84 | $770.00 | $49.22 – $1,966.00 | 11 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $78.84 | $836.00 | $71.17 – $1,966.00 | 11 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $367.45 | $2,310.00 | $233.67 – $1,966.00 | 11 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $367.45 | $1,485.00 | $180.50 – $1,966.00 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $78.84 | $495.00 | $63.20 – $1,966.00 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $78.84 | $790.00 | $71.17 – $1,966.00 | 11 |
| Administration immunization each additional component CPT 90461 | not published | $50.00 | $10.00 – $14.72 | 2 |
| Administration immunization each additional vaccine CPT 90472 | not published | $123.00 | $22.00 – $25.82 | 2 |
| Administration immunization first component each vaccine CPT 90460 | not published | $158.00 | $20.34 – $40.44 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $78.84 | $94.00 | $29.36 – $78.84 | 8 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | $94.00 | $20.96 – $20.96 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | $76.00 | $9.80 – $43.16 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $51.11 | $88.00 | $46.14 – $51.11 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $51.11 | $138.00 | $20.50 – $59.59 | 8 |
| Administration vaccine pneumococcal HCPCS G0009 | $51.11 | $165.00 | $26.92 – $51.18 | 8 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $8.54 – $37.67 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $41.85 | $117.46 | $35.57 – $73.34 | 12 |
| Adrenal cortex & medulla img CPT 78075 | $1,446.24 | not published | $441.11 – $3,744.78 | 13 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | $3,748.00 | $996.42 – $2,646.27 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.