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 |
|---|---|---|---|---|
| Lso sag-coronal panel custom HCPCS L0638 | not published | $1,971.00 | $1,227.21 – $2,458.41 | 4 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $395.51 – $3,242.73 | 7 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $59.63 – $469.44 | 7 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $306.39 – $1,867.48 | 5 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $454.40 – $2,764.56 | 5 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $90.12 – $534.65 | 5 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $105.57 – $831.21 | 7 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | $1,559.00 | $973.66 – $1,950.47 | 4 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $337.65 – $2,187.80 | 5 |
| L/s ratio fetal lung CPT 83661 | $21.99 | $180.00 | $11.55 – $103.49 | 13 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.08 – $2.90 | 4 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $25.00 – $124.10 | 5 |
| Lumbar derotation pad HCPCS L1240 | not published | $115.00 | $31.45 – $151.49 | 5 |
| Lumbar diskogram s&i CPT 72295 | $2,163.32 | $5,369.00 | $214.09 – $5,030.71 | 11 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $32.00 – $152.21 | 5 |
| Lumbar sling HCPCS L1090 | not published | not published | $51.00 – $178.83 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $20,372.87 | $30,109.00 | $1,290.00 – $20,372.87 | 8 |
| Lumizyme injection HCPCS J0221 | $206.62 | not published | $175.63 – $389.60 | 12 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $344.98 | $1,540.00 | $69.71 – $610.00 | 10 |
| Lung function test (mbc/mvv) CPT 94200 | $65.80 | $273.00 | $26.92 – $610.00 | 10 |
| Lung Function Test (Spirometry) CPT 94010 | $173.33 | $1,375.00 | $48.73 – $610.00 | 10 |
| Lung perfusion imaging CPT 78580 | $445.16 | $1,760.00 | $293.48 – $1,081.39 | 12 |
| Lung transplant double CPT 32853 | not published | not published | $9,401.15 – $9,401.15 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $6,737.70 – $6,737.70 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $7,246.06 – $7,246.06 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,464.42 – $9,948.36 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,065.22 – $3,065.22 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $206.13 | not published | $175.21 – $387.04 | 10 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $41.96 | not published | $35.67 – $80.32 | 10 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $312.69 | not published | $312.69 – $589.12 | 11 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $253.18 | not published | $253.18 – $326.41 | 8 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | $1,205.28 | $954.01 – $954.01 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $27.13 | not published | $9.00 – $66.66 | 9 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | $433.00 | $181.42 – $530.75 | 5 |
| Lyme dis dna dir probe CPT 87475 | $20.05 | not published | $20.05 – $94.36 | 14 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | $10,494.00 | $574.16 – $1,513.29 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $596.31 | $2,248.00 | $345.06 – $1,403.35 | 12 |
| Lymphocyte culture mixed CPT 86821 | $36.56 | not published | $36.56 – $172.06 | 14 |
| Lymphocyte transformation mitogen CPT 86353 | $49.03 | $2,475.00 | $35.20 – $230.75 | 13 |
| Lymphocytotoxicity assay CPT 86805 | $189.51 | $395.00 | $24.20 – $891.88 | 13 |
| Lymphocytotoxicity assay CPT 86806 | $47.59 | not published | $24.20 – $223.97 | 14 |
| Lymph vessel x-ray arm/leg CPT 75801 | $684.92 | $1,797.00 | $618.26 – $1,553.10 | 10 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,720.93 | $3,216.00 | $903.71 – $4,032.11 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | $3,486.86 | $3,522.00 | $837.39 – $8,205.81 | 10 |
| Lymph vessel x-ray trunk CPT 75807 | $3,486.86 | $7,150.00 | $955.21 – $8,205.81 | 10 |
| Lysis intranasal synechia 30560 CPT 30560 | $564.16 | $1,548.00 | $50.40 – $564.16 | 8 |
| Lysis of labial adhesions CPT 56441 | $3,522.35 | $6,002.00 | $84.00 – $3,522.35 | 8 |
| Lysis penil circumic lesion CPT 54162 | $2,269.38 | $5,710.00 | $288.00 – $2,269.38 | 8 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $12.98 – $12.98 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $17.51 – $61.15 | 3 |
| Macroscopic exam arthropod CPT 87168 | $4.27 | $105.00 | $4.27 – $20.10 | 13 |
| Macroscopic exam parasite CPT 87169 | $4.31 | $50.00 | $4.31 – $20.28 | 13 |
| Magnesium CPT 83735 | $6.70 | $138.00 | $4.95 – $31.53 | 13 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | $18.50 | $0.43 – $1.63 | 5 |
| Magnetic image bone marrow CPT 77084 | $267.78 | $3,630.00 | $241.72 – $4,332.00 | 13 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $31.70 – $50.84 | 4 |
| Malaria antibody CPT 86750 | $13.19 | not published | $13.19 – $62.08 | 14 |
| Male sling procedure CPT 53440 | $14,393.26 | $16,993.00 | $585.64 – $14,393.26 | 8 |
| Mammosite ced HCPCS C1728 | not published | $4,960.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,951.40 – $6,298.84 | 2 |
| Manipulate finger w/anesth CPT 26340 | $1,772.97 | $3,211.00 | $262.30 – $1,772.97 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | $1,772.97 | $3,208.00 | $370.00 – $1,772.97 | 8 |
| Manipulation of hip joint CPT 27275 | $1,772.97 | $3,704.00 | $158.62 – $1,772.97 | 8 |
| Manipulation of spine CPT 22505 | $1,772.97 | not published | $122.00 – $2,718.61 | 9 |
| Manipulat palm cord post inj CPT 26341 | $265.74 | $725.00 | $86.00 – $265.74 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | $34.31 | $1.90 – $5.56 | 5 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.94 – $1.19 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | $137.00 | $16.80 – $131.98 | 5 |
| Manual diff wbc count b-coat CPT 85009 | $5.07 | $20.00 | $1.32 – $23.86 | 13 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | $848.00 | $104.00 – $7,013.00 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | $3,300.00 | $116.46 – $286.36 | 2 |
| Map tachycard site(s) CPT 93609 | not published | $9,061.00 | $104.00 – $1,018.92 | 3 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $50.45 | not published | $42.88 – $93.97 | 10 |
| Marker biop eviva buckle ss HCPCS A4648 | not published | $2,467.60 | $293.83 – $293.83 | 1 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $11,379.91 | not published | $11,379.91 – $11,948.91 | 7 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | $2,955.00 | $658.24 – $2,413.40 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $107.95 – $521.85 | 5 |
| Mastectomy form HCPCS L8020 | not published | not published | $132.00 – $416.98 | 5 |
| Mastectomy partial CPT 19301 | $4,242.15 | $6,490.00 | $1,412.51 – $5,829.14 | 9 |
| Mast mod rad CPT 19307 | $7,224.60 | $11,631.00 | $2,520.25 – $10,174.48 | 9 |
| Mastoidectomy CPT 69501 | $6,553.49 | $12,000.00 | $585.64 – $6,553.49 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | $6,553.49 | $10,380.00 | $1,056.00 – $6,553.49 | 8 |
| Mastoids complete CPT 70130 | $117.81 | $442.00 | $81.82 – $312.47 | 12 |
| Mastoid surgery revision CPT 69603 | $6,553.49 | $12,000.00 | $845.60 – $6,553.49 | 8 |
| Mastopexy CPT 19316 | $7,224.60 | $11,631.00 | $620.74 – $10,174.48 | 9 |
| Mast radical CPT 19305 | not published | $5,902.00 | $2,455.77 – $2,455.77 | 1 |
| Mast rad urban type CPT 19306 | not published | $5,902.00 | $2,612.75 – $2,612.75 | 1 |
| Mast simple complete CPT 19303 | $7,224.60 | $9,350.00 | $2,044.04 – $10,174.48 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | $324.46 | $67.35 – $138.61 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | $116.26 | $17.72 – $24.68 | 2 |
| M.avium-intra dna amp prob CPT 87561 | $35.09 | $384.00 | $35.09 – $165.14 | 13 |
| M.avium-intra dna dir prob CPT 87560 | $27.29 | not published | $27.29 – $128.43 | 14 |
| M.avium-intra dna quant CPT 87562 | $42.84 | not published | $22.00 – $201.62 | 14 |
| Maxillofacial fixation CPT 21100 | $6,553.49 | not published | $168.00 – $9,158.16 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $14.46 | $84.00 | $8.58 – $68.05 | 13 |
| Mayo aathr protein s free CPT 85306 | $15.32 | $198.00 | $15.32 – $72.10 | 13 |
| Mayo activated protein c resistance assay CPT 85307 | $15.32 | $135.00 | $15.32 – $72.10 | 13 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $38.57 | $2,750.00 | $33.95 – $181.52 | 13 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | $260.00 | $18.33 – $18.33 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | $121.00 | $18.33 – $54.20 | 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.