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Eeg over 1 hour 95813 - 26 at JFK Johnson Rehabilitation Institute (JRI)

65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 14, 2026

$311.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,346.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$104.00 with HORIZON BCBS BRAVEN vs $1,331.19 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 →

Payer
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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
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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 BCBS BRAVEN MEDICARE ADVANTAGE $104.00 ↓ -67%
HORIZON HMO $181.00 ↓ -42%
HORIZON WORKERS COMP $188.00 ↓ -40%
CLOVER MEDICARE ADVANTAGE $242.28 ↓ -22%
SEOUL MEDICAL GROUP ALL PRODUCTS $289.39 ↓ -7%
AMERIGROUP MEDICARE ADVANTAGE $293.43 ↓ -6%
HORIZON MEDICARE ADVANTAGE $311.40 ↑ +0%
AETNA MEDICARE ADVANTAGE $311.40 ↑ +0%
WELLCARE MEDICARE ADVANTAGE $311.40 ↑ +0%
VACCN ALL PRODUCTS $311.40 ↑ +0%
WELLCARE MANAGED MEDICAID $311.40 ↑ +0%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $326.97 ↑ +5%
UNITED HEALTHCARE MANAGED MEDICAID $456.83 ↑ +47%
AETNA MANAGED MEDICAID $470.56 ↑ +51%
CIGNA - JRI@OUMC ALL PRODUCTS $673.00 ↑ +116%
KARNA MEDICARE ADVANTAGE $798.11 ↑ +156%
BRIGHTON HEALTH PLAN ALL PRODUCTS $807.60 ↑ +159%
HORIZON INDEMNITY $819.71 ↑ +163%
HORIZON PIP $819.71 ↑ +163%
HORIZON PPO $819.71 ↑ +163%
HORIZON OMNIA $819.71 ↑ +163%
HORIZON SHP $819.71 ↑ +163%
BRIGHTON HEALTH PLAN - JRI@OUMC ALL PRODUCTS $874.90 ↑ +181%
INTERGROUP SHARED SAVINGS $942.20 ↑ +203%
INTERGROUP WORKERS COMP $942.20 ↑ +203%
ACTIVECARE FIRST MCO ALL PRODUCTS $942.20 ↑ +203%
BERGEN RISK ALL PRODUCTS $1,009.50 ↑ +224%
PRIME HEALTH WORKERS COMP $1,076.80 ↑ +246%
PRIME HEALTH AUTO INSURANCE $1,076.80 ↑ +246%
HORIZON MANAGED MEDICAID $1,124.00 ↑ +261%
MULTIPLAN - PHCS ALL PRODUCTS $1,144.10 ↑ +267%
AETNA PPO $1,206.96 ↑ +288%
AETNA ASA $1,206.96 ↑ +288%
AETNA HMO $1,206.96 ↑ +288%
QUALCARE HMO $1,246.40 ↑ +300%
QUALCARE WORKERS COMP $1,246.40 ↑ +300%
QUALCARE PPO $1,246.40 ↑ +300%
CIGNA PPO $1,295.66 ↑ +316%
CIGNA HMO $1,295.66 ↑ +316%
AMERIHEALTH LOCAL HMO $1,331.19 ↑ +327%
AMERIHEALTH REGIONAL HMO $1,331.19 ↑ +327%

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