Bilateral n block inj occipital 64405 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$327.02
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.
$1,199.00
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.
$96.18 with HORIZON vs $4,025.00 with AETNA — 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 | $96.18 | ↓ -71% |
| KARNA | MEDICARE ADVANTAGE | $110.87 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $193.04 | ↓ -41% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $206.11 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $215.82 | ↓ -34% |
| AETNA | MEDICARE ADVANTAGE | $246.99 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $257.79 | ↓ -21% |
| HORIZON | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $295.19 | ↓ -10% |
| VACCN | ALL PRODUCTS | $295.19 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $295.19 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $309.95 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $327.02 | ↑ +0% |
| BRIGHTON HEALTH PLAN | PNO | $512.28 | ↑ +57% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $603.10 | ↑ +84% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $670.24 | ↑ +105% |
| INTERGROUP | SHARED SAVINGS | $839.30 | ↑ +157% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $839.30 | ↑ +157% |
| INTERGROUP | WORKERS COMP | $839.30 | ↑ +157% |
| HORIZON | WORKERS COMP | $876.47 | ↑ +168% |
| HORIZON | PIP | $876.47 | ↑ +168% |
| HORIZON | OMNIA | $882.22 | ↑ +170% |
| BERGEN RISK | ALL PRODUCTS | $899.25 | ↑ +175% |
| PRIME HEALTH | WORKERS COMP | $959.20 | ↑ +193% |
| PRIME HEALTH | AUTO INSURANCE | $959.20 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $992.53 | ↑ +204% |
| UNITED HEALTHCARE | HMO | $996.97 | ↑ +205% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,019.15 | ↑ +212% |
| HORIZON | SHP | $1,051.76 | ↑ +222% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,079.10 | ↑ +230% |
| HORIZON | HMO | $1,088.57 | ↑ +233% |
| HORIZON | INDEMNITY | $1,102.96 | ↑ +237% |
| QUALCARE | WORKERS COMP | $1,110.27 | ↑ +240% |
| QUALCARE | HMO | $1,110.27 | ↑ +240% |
| QUALCARE | PPO | $1,110.27 | ↑ +240% |
| HORIZON | PPO | $1,114.23 | ↑ +241% |
| AMERIHEALTH | REGIONAL HMO | $1,134.25 | ↑ +247% |
| AMERIHEALTH | LOCAL HMO | $1,134.25 | ↑ +247% |
| CIGNA | PPO | $1,154.16 | ↑ +253% |
| CIGNA | HMO | $1,154.16 | ↑ +253% |
| AETNA | PPO | $4,025.00 | ↑ +1131% |
| AETNA | HMO | $4,025.00 | ↑ +1131% |
| AETNA | ASA | $4,025.00 | ↑ +1131% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bilateral n block inj occipital 64405 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $38.75 – $645.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $79.83 – $662.36 |
| Community Medical Center | Toms River | $3,786.00 | $81.75 – $641.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $78.87 – $659.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $39.89 – $662.36 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $50.15 – $691.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $157.74 – $650.19 |
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |