Devel tst phys/qhp 1st hr at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$173.33
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.
$615.00
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.
$70.61 with HORIZON vs $759.00 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 |
|---|---|---|---|
| HORIZON | BH | $70.61 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $99.02 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $105.72 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $110.70 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $132.23 | ↓ -24% |
| HORIZON | MANAGED MEDICAID | $148.84 | ↓ -14% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $154.00 | ↓ -11% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| KARNA | MEDICARE ADVANTAGE | $208.78 | ↑ +20% |
| HORIZON | SHP | $249.00 | ↑ +44% |
| HORIZON | OMNIA | $249.00 | ↑ +44% |
| HORIZON | PPO | $269.00 | ↑ +55% |
| HORIZON | HMO | $269.00 | ↑ +55% |
| HORIZON | INDEMNITY | $269.00 | ↑ +55% |
| HORIZON | PIP | $276.00 | ↑ +59% |
| HORIZON | WORKERS COMP | $276.00 | ↑ +59% |
| INTERGROUP | SHARED SAVINGS | $430.50 | ↑ +148% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $430.50 | ↑ +148% |
| INTERGROUP | WORKERS COMP | $430.50 | ↑ +148% |
| BERGEN RISK | ALL PRODUCTS | $461.25 | ↑ +166% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $492.00 | ↑ +184% |
| PRIME HEALTH | AUTO INSURANCE | $492.00 | ↑ +184% |
| PRIME HEALTH | WORKERS COMP | $492.00 | ↑ +184% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $522.75 | ↑ +202% |
| AETNA | ASA | $551.47 | ↑ +218% |
| AETNA | PPO | $551.47 | ↑ +218% |
| AETNA | HMO | $551.47 | ↑ +218% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $553.50 | ↑ +219% |
| QUALCARE | WORKERS COMP | $569.49 | ↑ +229% |
| QUALCARE | HMO | $569.49 | ↑ +229% |
| QUALCARE | PPO | $569.49 | ↑ +229% |
| AMERIHEALTH | LOCAL HMO | $581.79 | ↑ +236% |
| AMERIHEALTH | REGIONAL HMO | $581.79 | ↑ +236% |
| CIGNA | HMO | $592.00 | ↑ +242% |
| CIGNA | PPO | $592.00 | ↑ +242% |
| OXFORD | ALL PRODUCTS | $633.00 | ↑ +265% |
| UNITED HEALTHCARE | HMO | $759.00 | ↑ +338% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Devel tst phys/qhp 1st hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $361.50 | $193.10 – $193.10 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $393.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $1,673.00 |
| Ocean University Medical Center | Brick | $170.99 | $154.00 – $393.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $70.61 – $426.00 |
| Palisades Medical Center | North Bergen | $184.26 | $146.61 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $389.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $399.00 |