Hlth bhv assmt/reassessment at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$102.47
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.
$232.00
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.
$37.35 with AETNA vs $223.32 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $37.35 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $39.88 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $41.76 | ↓ -59% |
| HORIZON | BH | $48.88 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $49.88 | ↓ -51% |
| AMERIGROUP | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $92.50 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $92.50 | ↓ -10% |
| VACCN | ALL PRODUCTS | $92.50 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $97.13 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $102.47 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $107.20 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $146.97 | ↑ +43% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $162.40 | ↑ +58% |
| INTERGROUP | SHARED SAVINGS | $162.40 | ↑ +58% |
| INTERGROUP | WORKERS COMP | $162.40 | ↑ +58% |
| HORIZON | PIP | $169.59 | ↑ +66% |
| HORIZON | WORKERS COMP | $169.59 | ↑ +66% |
| HORIZON | OMNIA | $170.71 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $174.00 | ↑ +70% |
| PRIME HEALTH | WORKERS COMP | $185.60 | ↑ +81% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $185.60 | ↑ +81% |
| PRIME HEALTH | AUTO INSURANCE | $185.60 | ↑ +81% |
| OXFORD | ALL PRODUCTS | $192.05 | ↑ +87% |
| UNITED HEALTHCARE | HMO | $192.91 | ↑ +88% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $197.20 | ↑ +92% |
| HORIZON | SHP | $203.51 | ↑ +99% |
| AETNA | HMO | $208.03 | ↑ +103% |
| AETNA | PPO | $208.03 | ↑ +103% |
| AETNA | ASA | $208.03 | ↑ +103% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $208.80 | ↑ +104% |
| HORIZON | HMO | $210.63 | ↑ +106% |
| HORIZON | INDEMNITY | $213.42 | ↑ +108% |
| QUALCARE | PPO | $214.83 | ↑ +110% |
| QUALCARE | WORKERS COMP | $214.83 | ↑ +110% |
| QUALCARE | HMO | $214.83 | ↑ +110% |
| HORIZON | PPO | $215.60 | ↑ +110% |
| AMERIHEALTH | LOCAL HMO | $219.47 | ↑ +114% |
| AMERIHEALTH | REGIONAL HMO | $219.47 | ↑ +114% |
| CIGNA | HMO | $223.32 | ↑ +118% |
| CIGNA | PPO | $223.32 | ↑ +118% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv assmt/reassessment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $165.50 | $133.67 – $133.67 |
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $122.86 |
| Hackensack University Medical Center | Hackensack | $108.93 | $87.15 – $146.97 |
| Ocean University Medical Center | Brick | $101.09 | $92.50 – $143.37 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $48.88 – $143.37 |
| Palisades Medical Center | North Bergen | $108.93 | $105.59 – $146.97 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $102.47 – $146.97 |
| Riverview Medical Center | Red Bank | $102.38 | $102.38 – $143.37 |