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 |
|---|---|---|---|---|
| Prepare donor lung double CPT 32856 | not published | not published | $1,593.45 – $1,593.45 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $1,289.37 – $1,289.37 | 1 |
| Prepare embryo for transfer CPT 89255 | $59.19 | not published | $53.43 – $108.48 | 10 |
| Prepare fecal microbiota CPT 44705 | not published | $200.00 | $148.97 – $148.97 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,050.00 – $3,595.05 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $169.09 – $169.09 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | $596.00 | $388.24 – $388.24 | 1 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | $2,761.00 | $1,718.87 – $3,762.08 | 4 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,000.00 – $3,524.81 | 5 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $726.60 – $3,026.10 | 5 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,120.00 – $3,590.14 | 5 |
| Prep cadaver renal allograft CPT 50323 | not published | $4,956.00 | $470.10 – $470.10 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | $466.00 | not published | 0 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $792.84 – $792.84 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $566.52 – $566.52 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,198.44 – $1,198.44 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $792.36 – $792.36 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $596.24 – $979.88 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $678.30 – $678.30 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $362.90 – $414.24 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $645.91 – $645.91 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $488.20 – $488.20 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $488.20 – $488.20 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | $8,032.25 | not published | $7,250.50 – $8,032.25 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | $477.00 | $341.89 – $341.89 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $1,127.09 | not published | $711.46 – $1,127.09 | 8 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $393.43 – $393.43 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $372.41 – $372.41 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $448.56 – $448.56 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | $8,032.25 | not published | $7,250.50 – $8,032.25 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $678.13 | $1,934.00 | $545.17 – $678.13 | 8 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,026.46 | $3,419.00 | $386.56 – $2,026.46 | 8 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | $1,048.00 | $94.07 – $94.07 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $173.33 | $197.00 | $156.46 – $610.00 | 9 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $442.72 – $1,376.66 | 2 |
| Pressure velocity wire add ves CPT 93572 | not published | $1,707.00 | $449.93 – $14,806.00 | 2 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | $695.00 | $433.01 – $871.96 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $189.84 | $260.00 | $27.50 – $325.17 | 10 |
| Pretreat rbc absorption reference CPT 86978 | $65.80 | $248.00 | $38.50 – $79.68 | 10 |
| Pretreat rbc density gradient separation reference CPT 86972 | $189.84 | $207.00 | $16.50 – $325.17 | 10 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $65.80 | $1,090.00 | $16.50 – $73.77 | 10 |
| Pretreat rbc w enzyme reference CPT 86971 | $189.84 | $535.00 | $16.50 – $634.95 | 10 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $177.99 | $900.00 | $154.00 – $759.00 | 10 |
| Preventive counseling group CPT 99411 | not published | $198.00 | $12.45 – $15.29 | 2 |
| Preventive counseling group CPT 99412 | not published | $400.00 | $20.94 – $510.00 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $23.50 – $39.63 | 2 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | $198.00 | $23.50 – $80.36 | 2 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | $297.00 | $23.50 – $119.98 | 2 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | $427.00 | $23.50 – $160.16 | 2 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $142.76 | $342.00 | $128.87 – $232.25 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,794.93 | $2,946.00 | $137.76 – $1,794.93 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,794.93 | $3,795.00 | $134.40 – $1,794.93 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $442.61 | $1,265.00 | $219.08 – $442.61 | 8 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | $4,545.00 | $759.68 – $2,873.19 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | $41.31 | $124.00 | $37.29 – $1,042.00 | 10 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $41.31 | $460.00 | $37.29 – $1,042.00 | 10 |
| Prgrmg dev eval scrms ip CPT 93285 | $41.31 | $119.00 | $37.29 – $1,042.00 | 10 |
| Prgrmg eval implantable dfb CPT 93282 | $41.31 | $275.00 | $37.29 – $1,042.00 | 10 |
| Prgrmg eval implantable dfb CPT 93283 | $41.31 | $275.00 | $37.29 – $1,042.00 | 10 |
| Prgrmg eval implantable dfb CPT 93284 | $41.31 | $275.00 | $37.29 – $1,042.00 | 10 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | $10,491.00 | $104.00 – $612.17 | 3 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $110.00 – $290.82 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $110.00 – $219.52 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | $164.00 | $110.00 – $759.00 | 5 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | $200.00 | $45.00 – $759.00 | 5 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | $133.00 | $45.00 – $759.00 | 5 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | $103.00 | $23.50 – $759.00 | 5 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $19,892.81 | $22,997.00 | $875.70 – $19,892.81 | 10 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | $5,885.00 | $329.68 – $14,806.00 | 3 |
| Prin care mgmt staff 1st 30 CPT 99426 | $102.47 | not published | $92.50 – $102.47 | 7 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $442.61 | $2,212.00 | $221.26 – $442.61 | 8 |
| Pr incision & drainage abscess simple/single CPT 10060 | $220.12 | $990.00 | $51.02 – $233.67 | 8 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $336.99 | $922.00 | $278.32 – $336.99 | 8 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $442.61 | $848.00 | $158.70 – $442.61 | 8 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $142.76 | not published | $128.87 – $320.33 | 9 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $142.76 | not published | $128.87 – $239.81 | 9 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | not published | $165.00 | $20.26 – $20.26 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,163.32 | $5,240.00 | $434.52 – $2,163.32 | 8 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | not published | $14,765.92 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $331.16 | $2,273.00 | $40.00 – $331.16 | 8 |
| Probe nasolacrimal duct CPT 68811 | $2,584.50 | $4,679.00 | $130.60 – $2,584.50 | 8 |
| Probe nasolacrimal duct CPT 68815 | $2,584.50 | $5,712.00 | $131.54 – $3,752.25 | 9 |
| Probe nl duct w/balloon CPT 68816 | $2,584.50 | $4,679.00 | $336.77 – $2,584.50 | 8 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $194.32 | $2,846.16 | $97.94 – $231.63 | 11 |
| Procalcitonin CPT 84145 | $27.22 | $354.00 | $23.96 – $128.10 | 13 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $114.42 – $118.02 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | $120.98 | $2.14 – $20.60 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.07 – $1.00 | 5 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,316.48 – $3,796.38 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,430.06 – $3,823.77 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | $3,038.07 | $5,092.00 | $221.81 – $3,038.07 | 8 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $1,306.21 | $2,550.00 | $60.50 – $1,306.21 | 8 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,306.21 | $2,358.00 | $66.00 – $1,306.21 | 8 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,010.01 | $2,272.00 | $51.00 – $1,010.01 | 8 |
| Proctosigmoidoscopy removal CPT 45308 | $3,038.07 | $6,034.00 | $108.30 – $3,038.07 | 8 |
| Proctosigmoidoscopy removal CPT 45309 | $1,306.21 | $2,647.00 | $108.30 – $1,306.21 | 8 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $1,306.21 | $2,395.00 | $147.62 – $1,306.21 | 8 |
| Proctosigmoidoscopy volvul CPT 45321 | $3,038.07 | not published | $170.00 – $4,832.58 | 9 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $1,306.21 | $3,011.00 | $75.14 – $1,306.21 | 8 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,038.07 | $6,034.00 | $101.64 – $3,038.07 | 8 |
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.