healthcosts.net
Aep thrshld est mlt freq i&r at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$311.40
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.
?
What you pay up front if you don't use insurance.
$1,811.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$116.00 with HORIZON BCBS BRAVEN vs $1,791.08 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -63% |
| KARNA | MEDICARE ADVANTAGE | $195.17 | ↓ -37% |
| HORIZON | HMO | $204.00 | ↓ -34% |
| HORIZON | WORKERS COMP | $208.00 | ↓ -33% |
| HORIZON | MEDICARE ADVANTAGE | $311.40 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $311.40 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $311.40 | ↑ +0% |
| VACCN | ALL PRODUCTS | $311.40 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $311.40 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $325.98 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $326.97 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $389.37 | ↑ +25% |
| AMERIGROUP | MEDICARE ADVANTAGE | $394.80 | ↑ +27% |
| OXFORD | ALL PRODUCTS | $499.00 | ↑ +60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $614.65 | ↑ +97% |
| UNITED HEALTHCARE | HMO | $627.00 | ↑ +101% |
| AETNA | MANAGED MEDICAID | $633.13 | ↑ +103% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $905.50 | ↑ +191% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,086.60 | ↑ +249% |
| HORIZON | INDEMNITY | $1,102.90 | ↑ +254% |
| HORIZON | PIP | $1,102.90 | ↑ +254% |
| HORIZON | PPO | $1,102.90 | ↑ +254% |
| HORIZON | OMNIA | $1,102.90 | ↑ +254% |
| HORIZON | SHP | $1,102.90 | ↑ +254% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $1,177.15 | ↑ +278% |
| INTERGROUP | SHARED SAVINGS | $1,267.70 | ↑ +307% |
| INTERGROUP | WORKERS COMP | $1,267.70 | ↑ +307% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,267.70 | ↑ +307% |
| BERGEN RISK | ALL PRODUCTS | $1,358.25 | ↑ +336% |
| PRIME HEALTH | WORKERS COMP | $1,448.80 | ↑ +365% |
| PRIME HEALTH | AUTO INSURANCE | $1,448.80 | ↑ +365% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,539.35 | ↑ +394% |
| AETNA | PPO | $1,623.92 | ↑ +421% |
| AETNA | ASA | $1,623.92 | ↑ +421% |
| AETNA | HMO | $1,623.92 | ↑ +421% |
| QUALCARE | HMO | $1,676.99 | ↑ +439% |
| QUALCARE | WORKERS COMP | $1,676.99 | ↑ +439% |
| QUALCARE | PPO | $1,676.99 | ↑ +439% |
| CIGNA | PPO | $1,743.27 | ↑ +460% |
| CIGNA | HMO | $1,743.27 | ↑ +460% |
| AMERIHEALTH | LOCAL HMO | $1,791.08 | ↑ +475% |
| AMERIHEALTH | REGIONAL HMO | $1,791.08 | ↑ +475% |