healthcosts.net
Aqua therapy w/exercise/ea 15 min 97113 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$46.97
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.
$243.00
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.
$43.74 with CLOVER vs $558.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $43.74 | ↓ -7% |
| HORIZON | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $46.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $49.32 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $52.25 | ↑ +11% |
| AMERIGROUP | MEDICARE ADVANTAGE | $52.97 | ↑ +13% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +28% |
| KARNA | MEDICARE ADVANTAGE | $63.57 | ↑ +35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $82.47 | ↑ +76% |
| AETNA | MANAGED MEDICAID | $84.95 | ↑ +81% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +121% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +147% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $121.50 | ↑ +159% |
| HORIZON | INDEMNITY | $147.99 | ↑ +215% |
| HORIZON | PIP | $147.99 | ↑ +215% |
| HORIZON | PPO | $147.99 | ↑ +215% |
| HORIZON | OMNIA | $147.99 | ↑ +215% |
| HORIZON | SHP | $147.99 | ↑ +215% |
| INTERGROUP | SHARED SAVINGS | $170.10 | ↑ +262% |
| INTERGROUP | WORKERS COMP | $170.10 | ↑ +262% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $170.10 | ↑ +262% |
| HORIZON | HMO | $181.00 | ↑ +285% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +300% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +311% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +311% |
| PRIME HEALTH | WORKERS COMP | $194.40 | ↑ +314% |
| PRIME HEALTH | AUTO INSURANCE | $194.40 | ↑ +314% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +336% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +336% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +336% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +336% |
| AETNA | PPO | $206.16 | ↑ +339% |
| AETNA | ASA | $206.16 | ↑ +339% |
| AETNA | HMO | $206.16 | ↑ +339% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $206.55 | ↑ +340% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +377% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +377% |
| CIGNA | PPO | $233.91 | ↑ +398% |
| CIGNA | HMO | $233.91 | ↑ +398% |
| AMERIHEALTH | LOCAL HMO | $240.33 | ↑ +412% |
| AMERIHEALTH | REGIONAL HMO | $240.33 | ↑ +412% |
| QUALCARE | HMO | $257.15 | ↑ +447% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +520% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +539% |
| QUALCARE | PPO | $300.33 | ↑ +539% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +781% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +965% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +1018% |
| UNITED HEALTHCARE | HMO | $558.00 | ↑ +1088% |