healthcosts.net

Electrode stimulation brain 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

$1,017.39

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.

Full explanation →

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

$1,469.00

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.

Full explanation →

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

$104.00 with HORIZON BCBS BRAVEN vs $1,452.84 with AMERIHEALTH — same scan, same building. Share

Negotiated rates by payer
?

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 BCBS BRAVEN MEDICARE ADVANTAGE $104.00 ↓ -90%
HORIZON HMO $181.00 ↓ -82%
HORIZON WORKERS COMP $188.00 ↓ -82%
CLOVER MEDICARE ADVANTAGE $264.42 ↓ -74%
SEOUL MEDICAL GROUP ALL PRODUCTS $315.84 ↓ -69%
AMERIGROUP MEDICARE ADVANTAGE $320.24 ↓ -69%
UNITED HEALTHCARE MANAGED MEDICAID $498.58 ↓ -51%
AETNA MANAGED MEDICAID $513.56 ↓ -50%
KARNA MEDICARE ADVANTAGE $579.39 ↓ -43%
CIGNA - JRI@OUMC ALL PRODUCTS $734.50 ↓ -28%
BRIGHTON HEALTH PLAN ALL PRODUCTS $881.40 ↓ -13%
HORIZON INDEMNITY $894.62 ↓ -12%
HORIZON PIP $894.62 ↓ -12%
HORIZON PPO $894.62 ↓ -12%
HORIZON OMNIA $894.62 ↓ -12%
HORIZON SHP $894.62 ↓ -12%
BRIGHTON HEALTH PLAN - JRI@OUMC ALL PRODUCTS $954.85 ↓ -6%
HORIZON MEDICARE ADVANTAGE $1,017.39 ↑ +0%
AETNA MEDICARE ADVANTAGE $1,017.39 ↑ +0%
WELLCARE MEDICARE ADVANTAGE $1,017.39 ↑ +0%
VACCN ALL PRODUCTS $1,017.39 ↑ +0%
WELLCARE MANAGED MEDICAID $1,017.39 ↑ +0%
INTERGROUP SHARED SAVINGS $1,028.30 ↑ +1%
INTERGROUP WORKERS COMP $1,028.30 ↑ +1%
ACTIVECARE FIRST MCO ALL PRODUCTS $1,028.30 ↑ +1%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $1,068.26 ↑ +5%
BERGEN RISK ALL PRODUCTS $1,101.75 ↑ +8%
HORIZON MANAGED MEDICAID $1,124.00 ↑ +10%
PRIME HEALTH WORKERS COMP $1,175.20 ↑ +16%
PRIME HEALTH AUTO INSURANCE $1,175.20 ↑ +16%
MULTIPLAN - PHCS ALL PRODUCTS $1,248.65 ↑ +23%
AETNA PPO $1,317.25 ↑ +29%
AETNA ASA $1,317.25 ↑ +29%
AETNA HMO $1,317.25 ↑ +29%
QUALCARE HMO $1,360.29 ↑ +34%
QUALCARE WORKERS COMP $1,360.29 ↑ +34%
QUALCARE PPO $1,360.29 ↑ +34%
CIGNA PPO $1,414.06 ↑ +39%
CIGNA HMO $1,414.06 ↑ +39%
AMERIHEALTH LOCAL HMO $1,452.84 ↑ +43%
AMERIHEALTH REGIONAL HMO $1,452.84 ↑ +43%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post