Bhv id assmt by phys/qhp at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$102.47
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.
$206.00
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.
$25.00 with HORIZON vs $759.00 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 | BH | $25.00 | ↓ -76% |
| KARNA | MEDICARE ADVANTAGE | $28.18 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $33.17 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $35.41 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $37.08 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.29 | ↓ -57% |
| WELLCARE | MANAGED MEDICAID | $92.50 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| VACCN | ALL PRODUCTS | $92.50 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $97.13 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $102.47 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $144.20 | ↑ +41% |
| INTERGROUP | SHARED SAVINGS | $144.20 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $144.20 | ↑ +41% |
| HORIZON | PIP | $150.59 | ↑ +47% |
| HORIZON | WORKERS COMP | $150.59 | ↑ +47% |
| HORIZON | OMNIA | $151.57 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $154.50 | ↑ +51% |
| PRIME HEALTH | AUTO INSURANCE | $164.80 | ↑ +61% |
| PRIME HEALTH | WORKERS COMP | $164.80 | ↑ +61% |
| AETNA | ASA | $174.77 | ↑ +71% |
| AETNA | HMO | $174.77 | ↑ +71% |
| AETNA | PPO | $174.77 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $175.10 | ↑ +71% |
| HORIZON | SHP | $180.70 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $185.40 | ↑ +81% |
| HORIZON | HMO | $187.03 | ↑ +83% |
| HORIZON | INDEMNITY | $189.50 | ↑ +85% |
| QUALCARE | WORKERS COMP | $190.76 | ↑ +86% |
| QUALCARE | HMO | $190.76 | ↑ +86% |
| QUALCARE | PPO | $190.76 | ↑ +86% |
| HORIZON | PPO | $191.44 | ↑ +87% |
| AMERIHEALTH | REGIONAL HMO | $194.88 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $194.88 | ↑ +90% |
| CIGNA | HMO | $198.30 | ↑ +94% |
| CIGNA | PPO | $198.30 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $633.00 | ↑ +518% |
| UNITED HEALTHCARE | HMO | $759.00 | ↑ +641% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bhv id assmt by phys/qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $121.50 | $68.37 – $68.37 |
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $393.00 |
| Hackensack University Medical Center | Hackensack | $108.93 | $28.18 – $1,673.00 |
| Ocean University Medical Center | Brick | $101.09 | $27.59 – $393.00 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $25.00 – $426.00 |
| Palisades Medical Center | North Bergen | $108.93 | $28.18 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $28.18 – $389.00 |
| Riverview Medical Center | Red Bank | $102.38 | $27.59 – $399.00 |