healthcosts.net
Cdp-sot 6 cond w/i&r at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$128.90
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.
$749.00
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.
$81.70 with KARNA vs $740.76 with AMERIHEALTH — 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 | $81.70 | ↓ -37% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↑ +0% |
| VACCN | ALL PRODUCTS | $128.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $134.82 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $161.04 | ↑ +25% |
| AMERIGROUP | MEDICARE ADVANTAGE | $163.28 | ↑ +27% |
| HORIZON | HMO | $204.00 | ↑ +58% |
| HORIZON | WORKERS COMP | $208.00 | ↑ +61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.21 | ↑ +97% |
| AETNA | MANAGED MEDICAID | $261.85 | ↑ +103% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $374.50 | ↑ +191% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $449.40 | ↑ +249% |
| HORIZON | INDEMNITY | $456.14 | ↑ +254% |
| HORIZON | PIP | $456.14 | ↑ +254% |
| HORIZON | PPO | $456.14 | ↑ +254% |
| HORIZON | OMNIA | $456.14 | ↑ +254% |
| HORIZON | SHP | $456.14 | ↑ +254% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $486.85 | ↑ +278% |
| OXFORD | ALL PRODUCTS | $499.00 | ↑ +287% |
| INTERGROUP | SHARED SAVINGS | $524.30 | ↑ +307% |
| INTERGROUP | WORKERS COMP | $524.30 | ↑ +307% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $524.30 | ↑ +307% |
| BERGEN RISK | ALL PRODUCTS | $561.75 | ↑ +336% |
| PRIME HEALTH | WORKERS COMP | $599.20 | ↑ +365% |
| PRIME HEALTH | AUTO INSURANCE | $599.20 | ↑ +365% |
| UNITED HEALTHCARE | HMO | $627.00 | ↑ +386% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $636.65 | ↑ +394% |
| AETNA | PPO | $671.63 | ↑ +421% |
| AETNA | ASA | $671.63 | ↑ +421% |
| AETNA | HMO | $671.63 | ↑ +421% |
| QUALCARE | HMO | $693.57 | ↑ +438% |
| QUALCARE | WORKERS COMP | $693.57 | ↑ +438% |
| QUALCARE | PPO | $693.57 | ↑ +438% |
| CIGNA | PPO | $720.99 | ↑ +459% |
| CIGNA | HMO | $720.99 | ↑ +459% |
| AMERIHEALTH | LOCAL HMO | $740.76 | ↑ +475% |
| AMERIHEALTH | REGIONAL HMO | $740.76 | ↑ +475% |