Hlth bhv ivntj fam 1st 30 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$33.00
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.
$279.00
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.
$29.79 with HORIZON vs $268.57 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $29.79 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $29.79 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $29.79 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $29.79 | ↓ -10% |
| VACCN | ALL PRODUCTS | $29.79 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $29.79 | ↓ -10% |
| HORIZON | BH | $30.73 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $31.28 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $33.00 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $44.92 | ↑ +36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.96 | ↑ +45% |
| CLOVER | MEDICARE ADVANTAGE | $50.22 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.99 | ↑ +82% |
| HORIZON | MANAGED MEDICAID | $78.56 | ↑ +138% |
| KARNA | MEDICARE ADVANTAGE | $103.65 | ↑ +214% |
| INTERGROUP | SHARED SAVINGS | $195.30 | ↑ +492% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $195.30 | ↑ +492% |
| INTERGROUP | WORKERS COMP | $195.30 | ↑ +492% |
| HORIZON | PIP | $203.95 | ↑ +518% |
| HORIZON | WORKERS COMP | $203.95 | ↑ +518% |
| HORIZON | OMNIA | $205.29 | ↑ +522% |
| BERGEN RISK | ALL PRODUCTS | $209.25 | ↑ +534% |
| PRIME HEALTH | WORKERS COMP | $223.20 | ↑ +576% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $223.20 | ↑ +576% |
| PRIME HEALTH | AUTO INSURANCE | $223.20 | ↑ +576% |
| OXFORD | ALL PRODUCTS | $230.96 | ↑ +600% |
| UNITED HEALTHCARE | HMO | $231.99 | ↑ +603% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $237.15 | ↑ +619% |
| HORIZON | SHP | $244.74 | ↑ +642% |
| AETNA | HMO | $250.18 | ↑ +658% |
| AETNA | PPO | $250.18 | ↑ +658% |
| AETNA | ASA | $250.18 | ↑ +658% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $251.10 | ↑ +661% |
| HORIZON | HMO | $253.30 | ↑ +668% |
| HORIZON | INDEMNITY | $256.65 | ↑ +678% |
| QUALCARE | PPO | $258.35 | ↑ +683% |
| QUALCARE | WORKERS COMP | $258.35 | ↑ +683% |
| QUALCARE | HMO | $258.35 | ↑ +683% |
| HORIZON | PPO | $259.27 | ↑ +686% |
| AMERIHEALTH | LOCAL HMO | $263.93 | ↑ +700% |
| AMERIHEALTH | REGIONAL HMO | $263.93 | ↑ +700% |
| CIGNA | HMO | $268.57 | ↑ +714% |
| CIGNA | PPO | $268.57 | ↑ +714% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Hlth bhv ivntj fam 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $152.50 | $84.04 – $84.04 |
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $39.57 |
| Hackensack University Medical Center | Hackensack | $35.08 | $28.07 – $103.65 |
| Ocean University Medical Center | Brick | $32.56 | $29.79 – $101.20 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $30.73 – $101.20 |
| Palisades Medical Center | North Bergen | $35.08 | $35.08 – $103.65 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $33.00 – $103.65 |
| Riverview Medical Center | Red Bank | $32.97 | $32.97 – $101.20 |