healthcosts.net
Cochlear implt f/up exam 7/> at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$156.46
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.
$732.00
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.
$60.00 with HORIZON vs $723.95 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -62% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -34% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↓ -26% |
| CLOVER | MEDICARE ADVANTAGE | $131.76 | ↓ -16% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $156.46 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $157.38 | ↑ +1% |
| AMERIGROUP | MEDICARE ADVANTAGE | $159.58 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↑ +5% |
| HORIZON | HMO | $181.00 | ↑ +16% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +20% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +23% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +23% |
| KARNA | MEDICARE ADVANTAGE | $200.84 | ↑ +28% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +31% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +31% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +31% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +31% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +43% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $248.44 | ↑ +59% |
| AETNA | MANAGED MEDICAID | $255.91 | ↑ +64% |
| QUALCARE | HMO | $257.15 | ↑ +64% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +92% |
| QUALCARE | PPO | $300.33 | ↑ +92% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $366.00 | ↑ +134% |
| OXFORD | ALL PRODUCTS | $413.00 | ↑ +164% |
| HORIZON | INDEMNITY | $445.79 | ↑ +185% |
| HORIZON | PIP | $445.79 | ↑ +185% |
| HORIZON | PPO | $445.79 | ↑ +185% |
| HORIZON | OMNIA | $445.79 | ↑ +185% |
| HORIZON | SHP | $445.79 | ↑ +185% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +220% |
| INTERGROUP | SHARED SAVINGS | $512.40 | ↑ +227% |
| INTERGROUP | WORKERS COMP | $512.40 | ↑ +227% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $512.40 | ↑ +227% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +236% |
| BERGEN RISK | ALL PRODUCTS | $549.00 | ↑ +251% |
| PRIME HEALTH | WORKERS COMP | $585.60 | ↑ +274% |
| PRIME HEALTH | AUTO INSURANCE | $585.60 | ↑ +274% |
| UNITED HEALTHCARE | HMO | $620.00 | ↑ +296% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $622.20 | ↑ +298% |
| AETNA | PPO | $656.38 | ↑ +320% |
| AETNA | ASA | $656.38 | ↑ +320% |
| AETNA | HMO | $656.38 | ↑ +320% |
| CIGNA | PPO | $704.62 | ↑ +350% |
| CIGNA | HMO | $704.62 | ↑ +350% |
| AMERIHEALTH | LOCAL HMO | $723.95 | ↑ +363% |
| AMERIHEALTH | REGIONAL HMO | $723.95 | ↑ +363% |