healthcosts.net
Emg 3 ext w-w/o paraspinal area 95863 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.
$697.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $4,550.00 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $125.46 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $149.86 | ↓ -4% |
| AMERIGROUP | MEDICARE ADVANTAGE | $151.95 | ↓ -3% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $156.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↑ +5% |
| HORIZON | HMO | $181.00 | ↑ +16% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $236.56 | ↑ +51% |
| AETNA | MANAGED MEDICAID | $243.67 | ↑ +56% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $348.50 | ↑ +123% |
| KARNA | MEDICARE ADVANTAGE | $366.19 | ↑ +134% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $418.20 | ↑ +167% |
| HORIZON | INDEMNITY | $424.47 | ↑ +171% |
| HORIZON | PIP | $424.47 | ↑ +171% |
| HORIZON | PPO | $424.47 | ↑ +171% |
| HORIZON | OMNIA | $424.47 | ↑ +171% |
| HORIZON | SHP | $424.47 | ↑ +171% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $453.05 | ↑ +190% |
| INTERGROUP | SHARED SAVINGS | $487.90 | ↑ +212% |
| INTERGROUP | WORKERS COMP | $487.90 | ↑ +212% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $487.90 | ↑ +212% |
| BERGEN RISK | ALL PRODUCTS | $522.75 | ↑ +234% |
| PRIME HEALTH | WORKERS COMP | $557.60 | ↑ +256% |
| PRIME HEALTH | AUTO INSURANCE | $557.60 | ↑ +256% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $592.45 | ↑ +279% |
| AETNA | PPO | $625.00 | ↑ +299% |
| AETNA | ASA | $625.00 | ↑ +299% |
| AETNA | HMO | $625.00 | ↑ +299% |
| QUALCARE | HMO | $645.42 | ↑ +313% |
| QUALCARE | WORKERS COMP | $645.42 | ↑ +313% |
| QUALCARE | PPO | $645.42 | ↑ +313% |
| CIGNA | PPO | $670.93 | ↑ +329% |
| CIGNA | HMO | $670.93 | ↑ +329% |
| AMERIHEALTH | LOCAL HMO | $689.33 | ↑ +341% |
| AMERIHEALTH | REGIONAL HMO | $689.33 | ↑ +341% |
| OXFORD | ALL PRODUCTS | $3,228.00 | ↑ +1963% |
| UNITED HEALTHCARE | HMO | $4,550.00 | ↑ +2808% |