healthcosts.net
Hdr rdncl ntrstl/icav brchtx at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$693.81
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.
$7,018.00
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.
$293.00 with HORIZON BCBS BRAVEN vs $6,940.80 with AMERIHEALTH — 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 | $293.00 | ↓ -58% |
| HORIZON | HMO | $509.00 | ↓ -27% |
| HORIZON | WORKERS COMP | $526.00 | ↓ -24% |
| HORIZON | MEDICARE ADVANTAGE | $693.81 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $693.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $693.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $693.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $693.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $728.50 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $1,169.00 | ↑ +68% |
| CLOVER | MEDICARE ADVANTAGE | $1,263.24 | ↑ +82% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,508.87 | ↑ +117% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,529.92 | ↑ +121% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,381.91 | ↑ +243% |
| AETNA | MANAGED MEDICAID | $2,453.49 | ↑ +254% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $3,509.00 | ↑ +406% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,210.80 | ↑ +507% |
| HORIZON | INDEMNITY | $4,273.96 | ↑ +516% |
| HORIZON | PIP | $4,273.96 | ↑ +516% |
| HORIZON | PPO | $4,273.96 | ↑ +516% |
| HORIZON | OMNIA | $4,273.96 | ↑ +516% |
| HORIZON | SHP | $4,273.96 | ↑ +516% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $4,561.70 | ↑ +557% |
| INTERGROUP | SHARED SAVINGS | $4,912.60 | ↑ +608% |
| INTERGROUP | WORKERS COMP | $4,912.60 | ↑ +608% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,912.60 | ↑ +608% |
| BERGEN RISK | ALL PRODUCTS | $5,263.50 | ↑ +659% |
| QUALCARE | HMO | $5,424.91 | ↑ +682% |
| QUALCARE | WORKERS COMP | $5,424.91 | ↑ +682% |
| QUALCARE | PPO | $5,424.91 | ↑ +682% |
| PRIME HEALTH | WORKERS COMP | $5,614.40 | ↑ +709% |
| PRIME HEALTH | AUTO INSURANCE | $5,614.40 | ↑ +709% |
| AETNA | PPO | $5,895.12 | ↑ +750% |
| AETNA | ASA | $5,895.12 | ↑ +750% |
| AETNA | HMO | $5,895.12 | ↑ +750% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,965.30 | ↑ +760% |
| CIGNA | PPO | $6,755.53 | ↑ +874% |
| CIGNA | HMO | $6,755.53 | ↑ +874% |
| AMERIHEALTH | LOCAL HMO | $6,940.80 | ↑ +900% |
| AMERIHEALTH | REGIONAL HMO | $6,940.80 | ↑ +900% |