healthcosts.net
Cardiac rehabilitation op phase 2 w/continous ecg monitoring at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$125.91
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.
$363.00
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.
$22.59 with KARNA vs $510.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $22.59 | ↓ -82% |
| AETNA | PPO | $44.31 | ↓ -65% |
| AETNA | ASA | $44.31 | ↓ -65% |
| AETNA | HMO | $44.31 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $65.34 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $78.05 | ↓ -38% |
| AMERIGROUP | MEDICARE ADVANTAGE | $79.13 | ↓ -37% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $123.20 | ↓ -2% |
| HORIZON | MEDICARE ADVANTAGE | $125.91 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $125.91 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $125.91 | ↑ +0% |
| VACCN | ALL PRODUCTS | $125.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $125.91 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $126.90 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $132.21 | ↑ +5% |
| HORIZON | HMO | $181.00 | ↑ +44% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $181.50 | ↑ +44% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +49% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $217.80 | ↑ +73% |
| HORIZON | INDEMNITY | $221.07 | ↑ +76% |
| HORIZON | PIP | $221.07 | ↑ +76% |
| HORIZON | PPO | $221.07 | ↑ +76% |
| HORIZON | OMNIA | $221.07 | ↑ +76% |
| HORIZON | SHP | $221.07 | ↑ +76% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $235.95 | ↑ +87% |
| QUALCARE | HMO | $239.48 | ↑ +90% |
| INTERGROUP | SHARED SAVINGS | $254.10 | ↑ +102% |
| INTERGROUP | WORKERS COMP | $254.10 | ↑ +102% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $254.10 | ↑ +102% |
| BERGEN RISK | ALL PRODUCTS | $272.25 | ↑ +116% |
| QUALCARE | WORKERS COMP | $278.74 | ↑ +121% |
| QUALCARE | PPO | $278.74 | ↑ +121% |
| PRIME HEALTH | WORKERS COMP | $290.40 | ↑ +131% |
| PRIME HEALTH | AUTO INSURANCE | $290.40 | ↑ +131% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $308.55 | ↑ +145% |
| CIGNA | PPO | $349.42 | ↑ +178% |
| CIGNA | HMO | $349.42 | ↑ +178% |
| AMERIHEALTH | LOCAL HMO | $359.01 | ↑ +185% |
| AMERIHEALTH | REGIONAL HMO | $359.01 | ↑ +185% |
| OXFORD | ALL PRODUCTS | $412.00 | ↑ +227% |
| UNITED HEALTHCARE | HMO | $510.00 | ↑ +305% |