healthcosts.net
Ghs ot group caregiver training at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$14.15
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.
$84.00
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.
$14.15 with HORIZON vs $558.00 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 | MEDICARE ADVANTAGE | $14.15 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $14.15 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $14.15 | ↑ +0% |
| VACCN | ALL PRODUCTS | $14.15 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.86 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $15.12 | ↑ +7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.06 | ↑ +28% |
| AMERIGROUP | MEDICARE ADVANTAGE | $18.31 | ↑ +29% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $28.51 | ↑ +101% |
| AETNA | MANAGED MEDICAID | $29.37 | ↑ +108% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $42.00 | ↑ +197% |
| KARNA | MEDICARE ADVANTAGE | $42.56 | ↑ +201% |
| HORIZON | INDEMNITY | $51.16 | ↑ +262% |
| HORIZON | PIP | $51.16 | ↑ +262% |
| HORIZON | PPO | $51.16 | ↑ +262% |
| HORIZON | OMNIA | $51.16 | ↑ +262% |
| HORIZON | SHP | $51.16 | ↑ +262% |
| INTERGROUP | SHARED SAVINGS | $58.80 | ↑ +316% |
| INTERGROUP | WORKERS COMP | $58.80 | ↑ +316% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $58.80 | ↑ +316% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +324% |
| PRIME HEALTH | WORKERS COMP | $67.20 | ↑ +375% |
| PRIME HEALTH | AUTO INSURANCE | $67.20 | ↑ +375% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $71.40 | ↑ +405% |
| AETNA | PPO | $75.32 | ↑ +432% |
| AETNA | ASA | $75.32 | ↑ +432% |
| AETNA | HMO | $75.32 | ↑ +432% |
| CIGNA | PPO | $80.86 | ↑ +471% |
| CIGNA | HMO | $80.86 | ↑ +471% |
| AMERIHEALTH | LOCAL HMO | $83.08 | ↑ +487% |
| AMERIHEALTH | REGIONAL HMO | $83.08 | ↑ +487% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +635% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +720% |
| HORIZON | HMO | $181.00 | ↑ +1179% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +1229% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +1264% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +1264% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +1349% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +1349% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +1349% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +1349% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +1483% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +1483% |
| QUALCARE | HMO | $257.15 | ↑ +1717% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +1957% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +2022% |
| QUALCARE | PPO | $300.33 | ↑ +2022% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +2826% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +3434% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +3610% |
| UNITED HEALTHCARE | HMO | $558.00 | ↑ +3843% |