Cdp-sot 6 cond w/i&r mct&adt at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$142.80
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.
$304.00
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.
$48.94 with AETNA vs $627.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $48.94 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $52.26 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $54.72 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $65.36 | ↓ -54% |
| AMERIGROUP | MEDICARE ADVANTAGE | $66.27 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $112.25 | ↓ -21% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -19% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -5% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $152.00 | ↑ +6% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $182.40 | ↑ +28% |
| HORIZON | INDEMNITY | $185.14 | ↑ +30% |
| HORIZON | PIP | $185.14 | ↑ +30% |
| HORIZON | OMNIA | $185.14 | ↑ +30% |
| HORIZON | SHP | $185.14 | ↑ +30% |
| HORIZON | PPO | $185.14 | ↑ +30% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $197.60 | ↑ +38% |
| HORIZON | HMO | $204.00 | ↑ +43% |
| HORIZON | WORKERS COMP | $208.00 | ↑ +46% |
| INTERGROUP | SHARED SAVINGS | $212.80 | ↑ +49% |
| INTERGROUP | WORKERS COMP | $212.80 | ↑ +49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $212.80 | ↑ +49% |
| BERGEN RISK | ALL PRODUCTS | $228.00 | ↑ +60% |
| PRIME HEALTH | AUTO INSURANCE | $243.20 | ↑ +70% |
| PRIME HEALTH | WORKERS COMP | $243.20 | ↑ +70% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $258.40 | ↑ +81% |
| AETNA | ASA | $272.60 | ↑ +91% |
| AETNA | PPO | $272.60 | ↑ +91% |
| AETNA | HMO | $272.60 | ↑ +91% |
| QUALCARE | WORKERS COMP | $281.50 | ↑ +97% |
| QUALCARE | HMO | $281.50 | ↑ +97% |
| QUALCARE | PPO | $281.50 | ↑ +97% |
| CIGNA | PPO | $292.63 | ↑ +105% |
| CIGNA | HMO | $292.63 | ↑ +105% |
| AMERIHEALTH | LOCAL HMO | $300.66 | ↑ +111% |
| AMERIHEALTH | REGIONAL HMO | $300.66 | ↑ +111% |
| OXFORD | ALL PRODUCTS | $499.00 | ↑ +249% |
| UNITED HEALTHCARE | HMO | $627.00 | ↑ +339% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r mct&adt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $112.25 – $487.00 |
| Ocean University Medical Center | Brick | $140.87 | $107.74 – $499.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $107.74 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $71.41 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $90.63 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $107.74 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $107.74 – $465.00 |