healthcosts.net
Administration chemotherapy IV push single/initial substance/drug at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$331.69
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.
$1,485.00
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.
$180.50 with KARNA vs $2,647.00 with CIGNA — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $180.50 | ↓ -46% |
| CLOVER | MEDICARE ADVANTAGE | $267.30 | ↓ -19% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $293.00 | ↓ -12% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $319.28 | ↓ -4% |
| AMERIGROUP | MEDICARE ADVANTAGE | $323.73 | ↓ -2% |
| HORIZON | MEDICARE ADVANTAGE | $331.69 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $331.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $331.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $331.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $331.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $348.27 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $504.01 | ↑ +52% |
| HORIZON | HMO | $509.00 | ↑ +53% |
| AETNA | MANAGED MEDICAID | $519.16 | ↑ +57% |
| HORIZON | WORKERS COMP | $526.00 | ↑ +59% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $742.50 | ↑ +124% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $891.00 | ↑ +169% |
| HORIZON | INDEMNITY | $904.37 | ↑ +173% |
| HORIZON | PIP | $904.37 | ↑ +173% |
| HORIZON | PPO | $904.37 | ↑ +173% |
| HORIZON | OMNIA | $904.37 | ↑ +173% |
| HORIZON | SHP | $904.37 | ↑ +173% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $965.25 | ↑ +191% |
| INTERGROUP | SHARED SAVINGS | $1,039.50 | ↑ +213% |
| INTERGROUP | WORKERS COMP | $1,039.50 | ↑ +213% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,039.50 | ↑ +213% |
| BERGEN RISK | ALL PRODUCTS | $1,113.75 | ↑ +236% |
| PRIME HEALTH | WORKERS COMP | $1,188.00 | ↑ +258% |
| PRIME HEALTH | AUTO INSURANCE | $1,188.00 | ↑ +258% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,262.25 | ↑ +281% |
| AETNA | PPO | $1,336.50 | ↑ +303% |
| AETNA | ASA | $1,336.50 | ↑ +303% |
| AETNA | HMO | $1,336.50 | ↑ +303% |
| QUALCARE | HMO | $1,375.11 | ↑ +315% |
| QUALCARE | WORKERS COMP | $1,375.11 | ↑ +315% |
| QUALCARE | PPO | $1,375.11 | ↑ +315% |
| AMERIHEALTH | LOCAL HMO | $1,468.67 | ↑ +343% |
| AMERIHEALTH | REGIONAL HMO | $1,468.67 | ↑ +343% |
| CIGNA | HMO | $1,966.00 | ↑ +493% |
| CIGNA | PPO | $2,647.00 | ↑ +698% |