Actinotherapy uv light at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$43.48
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.
$316.00
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.
$14.24 with HORIZON vs $3,343.00 with UNITED HEALTHCARE — 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 | $14.24 | ↓ -67% |
| WELLCARE | MANAGED MEDICAID | $39.25 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $39.25 | ↓ -10% |
| VACCN | ALL PRODUCTS | $39.25 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $41.21 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.48 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $43.48 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $45.50 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $50.88 | ↑ +17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $54.32 | ↑ +25% |
| CLOVER | MEDICARE ADVANTAGE | $56.88 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $67.94 | ↑ +56% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $158.00 | ↑ +263% |
| HORIZON | HMO | $181.00 | ↑ +316% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +332% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $189.60 | ↑ +336% |
| HORIZON | PIP | $192.44 | ↑ +343% |
| HORIZON | INDEMNITY | $192.44 | ↑ +343% |
| HORIZON | OMNIA | $192.44 | ↑ +343% |
| HORIZON | PPO | $192.44 | ↑ +343% |
| HORIZON | SHP | $192.44 | ↑ +343% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $205.40 | ↑ +372% |
| INTERGROUP | WORKERS COMP | $221.20 | ↑ +409% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $221.20 | ↑ +409% |
| INTERGROUP | SHARED SAVINGS | $221.20 | ↑ +409% |
| BERGEN RISK | ALL PRODUCTS | $237.00 | ↑ +445% |
| PRIME HEALTH | WORKERS COMP | $252.80 | ↑ +481% |
| PRIME HEALTH | AUTO INSURANCE | $252.80 | ↑ +481% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $268.60 | ↑ +518% |
| AETNA | PPO | $283.36 | ↑ +552% |
| AETNA | ASA | $283.36 | ↑ +552% |
| AETNA | HMO | $283.36 | ↑ +552% |
| QUALCARE | HMO | $292.62 | ↑ +573% |
| QUALCARE | PPO | $292.62 | ↑ +573% |
| QUALCARE | WORKERS COMP | $292.62 | ↑ +573% |
| AMERIHEALTH | REGIONAL HMO | $298.94 | ↑ +588% |
| AMERIHEALTH | LOCAL HMO | $298.94 | ↑ +588% |
| CIGNA | PPO | $304.18 | ↑ +600% |
| CIGNA | HMO | $304.18 | ↑ +600% |
| OXFORD | ALL PRODUCTS | $3,128.00 | ↑ +7094% |
| UNITED HEALTHCARE | HMO | $3,343.00 | ↑ +7589% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Actinotherapy uv light at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $32.83 | $12.82 – $91.98 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $52.13 |
| Hackensack University Medical Center | Hackensack | $46.22 | $36.98 – $4,221.00 |
| Ocean University Medical Center | Brick | $42.90 | $39.25 – $3,128.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $42.98 – $52.13 |
| Palisades Medical Center | North Bergen | $46.22 | $14.03 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $17.80 – $52.18 |
| Riverview Medical Center | Red Bank | $43.44 | $42.98 – $52.13 |