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 |
|---|---|---|---|---|
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,026.46 | $4,730.00 | $703.20 – $2,026.46 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,026.46 | $5,481.00 | $582.90 – $2,026.46 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | $1,788.00 | $144.74 – $152.00 | 2 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,026.46 | $5,277.00 | $634.20 – $2,026.46 | 8 |
| Functional brain mapping CPT 96020 | not published | not published | $413.11 – $413.11 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $142.80 | $322.00 | $65.06 – $2,437.00 | 11 |
| Furnsh initial orthosis only HCPCS L1200 | not published | $2,244.00 | $1,396.66 – $3,056.86 | 4 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.02 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | $4.09 | $0.76 – $1.75 | 4 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,144.00 – $6,788.92 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,308.00 – $2,916.58 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,308.00 – $2,919.41 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,041.60 – $2,952.17 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $793.76 – $2,783.36 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $3,121.52 – $3,121.52 | 1 |
| Fuse/graft added joint CPT 26863 | not published | $5,185.00 | $215.58 – $477.10 | 2 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $938.96 – $3,225.12 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,064.80 – $6,357.29 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $3,525.12 – $3,525.12 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | $4,743.00 | $845.60 – $2,758.65 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $730.84 – $2,327.70 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $813.12 – $2,869.97 | 2 |
| Fusion/graft of finger joint CPT 26862 | $3,594.44 | $6,943.00 | $620.74 – $3,594.44 | 8 |
| Fusion/graft of hand joint CPT 26844 | $7,913.97 | $12,498.00 | $792.08 – $7,913.97 | 8 |
| Fusion of ankle joint open CPT 27870 | $14,254.12 | $18,185.00 | $886.08 – $14,254.12 | 8 |
| Fusion of big toe joint CPT 28750 | $7,913.97 | $11,161.00 | $378.00 – $7,913.97 | 8 |
| Fusion of big toe joint CPT 28755 | $7,913.97 | $11,161.00 | $378.00 – $11,798.15 | 9 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,028.88 – $2,671.22 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | $3,570.00 | $114.00 – $213.89 | 2 |
| Fusion of finger joint CPT 26860 | $3,594.44 | $7,343.00 | $498.30 – $3,594.44 | 8 |
| Fusion of finger tendons CPT 26471 | $3,594.44 | $6,065.00 | $607.74 – $3,594.44 | 8 |
| Fusion of finger tendons CPT 26474 | $1,772.97 | $3,842.00 | $519.10 – $1,772.97 | 8 |
| Fusion of foot bones CPT 28730 | $14,254.12 | $16,561.00 | $693.60 – $14,254.12 | 8 |
| Fusion of foot bones CPT 28735 | $14,254.12 | $16,561.00 | $672.46 – $14,254.12 | 8 |
| Fusion of foot bones CPT 28740 | $7,913.97 | $11,161.00 | $547.80 – $7,913.97 | 8 |
| Fusion of hand joint CPT 26843 | $7,913.97 | $11,398.00 | $715.28 – $7,913.97 | 8 |
| Fusion of knee CPT 27580 | not published | $3,760.00 | $1,241.56 – $3,176.68 | 2 |
| Fusion of knuckle CPT 26850 | $7,913.97 | $11,550.00 | $564.30 – $7,913.97 | 8 |
| Fusion of knuckle joint CPT 26516 | $3,594.44 | $6,161.00 | $528.00 – $3,594.44 | 8 |
| Fusion of knuckle joints CPT 26517 | $3,594.44 | $7,582.00 | $802.58 – $3,594.44 | 8 |
| Fusion of knuckle joints CPT 26518 | $7,913.97 | not published | $802.98 – $7,913.97 | 9 |
| Fusion of knuckle with graft CPT 26852 | $7,913.97 | $11,398.00 | $763.58 – $7,913.97 | 8 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,069.10 – $5,575.94 | 2 |
| Fusion of spermatic ducts CPT 54900 | $2,269.38 | $5,331.00 | $440.44 – $2,269.38 | 8 |
| Fusion of spermatic ducts CPT 54901 | $3,820.84 | $5,331.00 | $585.64 – $3,820.84 | 8 |
| Fusion of tendons at wrist CPT 25300 | $3,594.44 | $6,575.00 | $617.44 – $3,594.44 | 8 |
| Fusion of tendons at wrist CPT 25301 | $3,594.44 | $7,913.00 | $591.76 – $3,594.44 | 8 |
| Fusion of thumb CPT 26841 | $7,913.97 | $11,398.00 | $548.14 – $7,913.97 | 8 |
| Fusion of tibiofibular joint CPT 27871 | $14,254.12 | $16,465.00 | $608.12 – $14,254.12 | 8 |
| Fusion of toes CPT 28280 | $3,594.44 | $6,095.00 | $221.44 – $3,594.44 | 8 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,232.00 – $2,985.21 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | $3,737.00 | $918.32 – $2,596.81 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $974.00 – $2,419.47 | 2 |
| Fxn gene charac alleles CPT 81285 | $274.83 | not published | $241.85 – $1,293.42 | 14 |
| Fxn gene detc abnor alleles CPT 81284 | $137.00 | not published | $120.56 – $644.75 | 14 |
| Fxn gene full gene sequence CPT 81286 | $274.83 | $1,190.00 | $241.85 – $1,293.42 | 13 |
| Fxn gene known famil variant CPT 81289 | $185.20 | not published | $162.98 – $871.60 | 14 |
| G0180 home health certification HCPCS G0180 | not published | not published | $98.40 – $98.40 | 1 |
| G6pc gene CPT 81250 | $58.49 | $1,040.00 | $51.47 – $275.27 | 13 |
| G6pd full gene sequence CPT 81249 | $600.00 | $1,705.00 | $528.00 – $2,823.74 | 13 |
| G6pd gene alys cmn variant CPT 81247 | $174.81 | $495.00 | $153.84 – $822.70 | 13 |
| G6pd known familial variant CPT 81248 | $375.25 | not published | $330.22 – $1,766.02 | 14 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | $210.00 | $0.01 – $142.55 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $51.09 | $224.40 | $0.01 – $158.84 | 8 |
| Gabapentin non-blood CPT 80355 | not published | not published | $18.13 – $53.23 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.22 – $0.69 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | $8.00 | $0.01 – $2.02 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.10 – $0.32 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $12.50 – $31.65 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $21.07 | $436.00 | $4.11 – $99.16 | 13 |
| Galactokinase - sendout CPT 82759 | $21.48 | $1,045.00 | $12.65 – $101.09 | 13 |
| Galactose transferase test CPT 82776 | $11.74 | not published | $9.79 – $55.25 | 14 |
| Galectin-3 CPT 82777 | $44.25 | $204.00 | $38.94 – $208.25 | 13 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $445.16 | $2,393.00 | $316.60 – $1,089.67 | 12 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $596.31 | $2,970.00 | $316.60 – $1,484.11 | 12 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $6,463.42 | $10,973.00 | $1,408.66 – $6,463.42 | 8 |
| Gallium ga-68 dotatoc HCPCS C9067 | $4.05 | not published | $4.05 – $18.55 | 9 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $372.17 | not published | $372.17 – $1,540.94 | 9 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $534.91 | not published | $534.91 – $1,573.82 | 9 |
| Gallium illuccix 1 millicure HCPCS A9596 | $973.64 | not published | $973.64 – $1,562.53 | 8 |
| Gallium locametz 1 millicuri HCPCS A9800 | $873.44 | not published | $873.44 – $1,018.06 | 8 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.59 – $3.43 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $429.68 – $884.58 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $167.06 | not published | $142.00 – $975.37 | 12 |
| Gamma globulin 1 cc inj HCPCS J1460 | $48.42 | not published | $41.16 – $97.54 | 12 |
| Gammaglobulin iga CPT 82784 | $9.30 | $465.00 | $9.30 – $43.77 | 13 |
| Gammaglobulin ige CPT 82785 | $16.46 | $261.00 | $16.46 – $77.46 | 13 |
| Gamma glutamyltransferase CPT 82977 | $7.20 | $121.00 | $5.28 – $33.88 | 13 |
| Gammagraft HCPCS Q4111 | not published | not published | $6.05 – $11.63 | 3 |
| Gammaplex injection HCPCS J1557 | $62.47 | not published | $53.10 – $109.09 | 12 |
| Gamunex-c/gammaked HCPCS J1561 | $48.03 | not published | $40.83 – $99.88 | 12 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | $636.08 | $33.68 – $110.59 | 5 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $21,527.84 – $27,973.52 | 2 |
| Gardner vag dna amp probe CPT 87511 | $35.09 | not published | $35.09 – $165.14 | 14 |
| Gardner vag dna quant CPT 87512 | $41.76 | $231.00 | $22.00 – $196.53 | 13 |
| Gastric analy w/ph ea spec CPT 82930 | $6.71 | not published | $5.91 – $31.58 | 14 |
| Gastric emptying imag study CPT 78265 | $445.16 | $1,183.00 | $377.08 – $1,290.07 | 12 |
| Gastric emptying imag study CPT 78266 | $596.31 | $1,585.00 | $377.08 – $1,443.33 | 12 |
| Gastric motility studies CPT 91020 | $587.81 | $1,661.00 | $495.05 – $587.81 | 8 |
| Gastric mucosa imaging CPT 78261 | $445.16 | not published | $330.83 – $1,081.39 | 13 |
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.