healthcosts.net
Ghs speech-gen aug dev eval iii, st at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$60.57
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.
$190.00
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.
$34.20 with CLOVER vs $620.00 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 | $34.20 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $40.85 | ↓ -33% |
| AMERIGROUP | MEDICARE ADVANTAGE | $41.42 | ↓ -32% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -1% |
| HORIZON | MEDICARE ADVANTAGE | $60.57 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $60.57 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $60.57 | ↑ +0% |
| VACCN | ALL PRODUCTS | $60.57 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $63.60 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $64.49 | ↑ +6% |
| AETNA | MANAGED MEDICAID | $66.42 | ↑ +10% |
| KARNA | MEDICARE ADVANTAGE | $84.64 | ↑ +40% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $95.00 | ↑ +57% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +72% |
| HORIZON | INDEMNITY | $115.71 | ↑ +91% |
| HORIZON | PIP | $115.71 | ↑ +91% |
| HORIZON | PPO | $115.71 | ↑ +91% |
| HORIZON | OMNIA | $115.71 | ↑ +91% |
| HORIZON | SHP | $115.71 | ↑ +91% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +92% |
| INTERGROUP | SHARED SAVINGS | $133.00 | ↑ +120% |
| INTERGROUP | WORKERS COMP | $133.00 | ↑ +120% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $133.00 | ↑ +120% |
| BERGEN RISK | ALL PRODUCTS | $142.50 | ↑ +135% |
| PRIME HEALTH | WORKERS COMP | $152.00 | ↑ +151% |
| PRIME HEALTH | AUTO INSURANCE | $152.00 | ↑ +151% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $161.50 | ↑ +167% |
| AETNA | PPO | $170.37 | ↑ +181% |
| AETNA | ASA | $170.37 | ↑ +181% |
| AETNA | HMO | $170.37 | ↑ +181% |
| HORIZON | HMO | $181.00 | ↑ +199% |
| CIGNA | PPO | $182.89 | ↑ +202% |
| CIGNA | HMO | $182.89 | ↑ +202% |
| AMERIHEALTH | LOCAL HMO | $187.91 | ↑ +210% |
| AMERIHEALTH | REGIONAL HMO | $187.91 | ↑ +210% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +210% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +219% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +219% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +238% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +238% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +238% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +238% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +270% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +270% |
| QUALCARE | HMO | $257.15 | ↑ +325% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +396% |
| QUALCARE | PPO | $300.33 | ↑ +396% |
| OXFORD | ALL PRODUCTS | $413.00 | ↑ +582% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +725% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +767% |
| UNITED HEALTHCARE | HMO | $620.00 | ↑ +924% |