healthcosts.net
Ghs ot prosthetic training/15 min at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$52.32
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.
?
What you pay up front if you don't use insurance.
$193.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.74 with CLOVER vs $558.00 with UNITED HEALTHCARE — 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 →
?
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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $34.74 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $41.50 | ↓ -21% |
| AMERIGROUP | MEDICARE ADVANTAGE | $42.07 | ↓ -20% |
| HORIZON | MEDICARE ADVANTAGE | $52.32 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $52.32 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $52.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $52.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $54.94 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +15% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $65.50 | ↑ +25% |
| AETNA | MANAGED MEDICAID | $67.47 | ↑ +29% |
| KARNA | MEDICARE ADVANTAGE | $72.50 | ↑ +39% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $96.50 | ↑ +84% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +99% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +122% |
| HORIZON | INDEMNITY | $117.54 | ↑ +125% |
| HORIZON | PIP | $117.54 | ↑ +125% |
| HORIZON | PPO | $117.54 | ↑ +125% |
| HORIZON | OMNIA | $117.54 | ↑ +125% |
| HORIZON | SHP | $117.54 | ↑ +125% |
| INTERGROUP | SHARED SAVINGS | $135.10 | ↑ +158% |
| INTERGROUP | WORKERS COMP | $135.10 | ↑ +158% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $135.10 | ↑ +158% |
| PRIME HEALTH | WORKERS COMP | $154.40 | ↑ +195% |
| PRIME HEALTH | AUTO INSURANCE | $154.40 | ↑ +195% |
| AETNA | PPO | $163.74 | ↑ +213% |
| AETNA | ASA | $163.74 | ↑ +213% |
| AETNA | HMO | $163.74 | ↑ +213% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $164.05 | ↑ +214% |
| HORIZON | HMO | $181.00 | ↑ +246% |
| CIGNA | PPO | $185.78 | ↑ +255% |
| CIGNA | HMO | $185.78 | ↑ +255% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +259% |
| AMERIHEALTH | LOCAL HMO | $190.88 | ↑ +265% |
| AMERIHEALTH | REGIONAL HMO | $190.88 | ↑ +265% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +269% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +269% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +292% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +292% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +292% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +292% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +328% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +328% |
| QUALCARE | HMO | $257.15 | ↑ +391% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +456% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +474% |
| QUALCARE | PPO | $300.33 | ↑ +474% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +691% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +856% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +903% |
| UNITED HEALTHCARE | HMO | $558.00 | ↑ +967% |