healthcosts.net
Ghs st - eval for alt comm at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$39.25
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.
$205.00
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.
$18.25 with KARNA vs $627.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $18.25 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $36.90 | ↓ -6% |
| HORIZON | MEDICARE ADVANTAGE | $39.25 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $39.25 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $39.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $39.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $39.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $41.21 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.08 | ↑ +12% |
| AMERIGROUP | MEDICARE ADVANTAGE | $44.69 | ↑ +14% |
| AETNA | PPO | $49.94 | ↑ +27% |
| AETNA | ASA | $49.94 | ↑ +27% |
| AETNA | HMO | $49.94 | ↑ +27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $69.58 | ↑ +77% |
| AETNA | MANAGED MEDICAID | $71.67 | ↑ +83% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $102.50 | ↑ +161% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↑ +196% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $123.00 | ↑ +213% |
| HORIZON | INDEMNITY | $124.85 | ↑ +218% |
| HORIZON | PIP | $124.85 | ↑ +218% |
| HORIZON | PPO | $124.85 | ↑ +218% |
| HORIZON | OMNIA | $124.85 | ↑ +218% |
| HORIZON | SHP | $124.85 | ↑ +218% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $133.25 | ↑ +239% |
| INTERGROUP | SHARED SAVINGS | $143.50 | ↑ +266% |
| INTERGROUP | WORKERS COMP | $143.50 | ↑ +266% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $143.50 | ↑ +266% |
| BERGEN RISK | ALL PRODUCTS | $153.75 | ↑ +292% |
| PRIME HEALTH | WORKERS COMP | $164.00 | ↑ +318% |
| PRIME HEALTH | AUTO INSURANCE | $164.00 | ↑ +318% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $174.25 | ↑ +344% |
| QUALCARE | HMO | $189.83 | ↑ +384% |
| QUALCARE | WORKERS COMP | $189.83 | ↑ +384% |
| QUALCARE | PPO | $189.83 | ↑ +384% |
| CIGNA | PPO | $197.33 | ↑ +403% |
| CIGNA | HMO | $197.33 | ↑ +403% |
| AMERIHEALTH | LOCAL HMO | $202.75 | ↑ +417% |
| AMERIHEALTH | REGIONAL HMO | $202.75 | ↑ +417% |
| HORIZON | HMO | $204.00 | ↑ +420% |
| HORIZON | WORKERS COMP | $208.00 | ↑ +430% |
| OXFORD | ALL PRODUCTS | $499.00 | ↑ +1171% |
| UNITED HEALTHCARE | HMO | $627.00 | ↑ +1497% |