Hlth bhv ivntj indiv 1st 30 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$177.99
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.
$464.00
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.
$33.47 with HORIZON vs $446.65 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 | BH | $33.47 | ↓ -81% |
| HORIZON | MANAGED MEDICAID | $73.16 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $74.70 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $79.76 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $83.52 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $98.14 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $99.76 | ↓ -44% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $154.00 | ↓ -13% |
| HORIZON | MEDICARE ADVANTAGE | $160.67 | ↓ -10% |
| VACCN | ALL PRODUCTS | $160.67 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $160.67 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $160.67 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $160.67 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $160.67 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $168.70 | ↓ -5% |
| HORIZON | OMNIA | $249.00 | ↑ +40% |
| HORIZON | SHP | $249.00 | ↑ +40% |
| HORIZON | HMO | $269.00 | ↑ +51% |
| HORIZON | INDEMNITY | $269.00 | ↑ +51% |
| HORIZON | PPO | $269.00 | ↑ +51% |
| HORIZON | PIP | $276.00 | ↑ +55% |
| HORIZON | WORKERS COMP | $276.00 | ↑ +55% |
| INTERGROUP | SHARED SAVINGS | $324.80 | ↑ +82% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $324.80 | ↑ +82% |
| INTERGROUP | WORKERS COMP | $324.80 | ↑ +82% |
| BERGEN RISK | ALL PRODUCTS | $348.00 | ↑ +96% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $371.20 | ↑ +109% |
| PRIME HEALTH | AUTO INSURANCE | $371.20 | ↑ +109% |
| PRIME HEALTH | WORKERS COMP | $371.20 | ↑ +109% |
| OXFORD | ALL PRODUCTS | $384.10 | ↑ +116% |
| UNITED HEALTHCARE | HMO | $385.82 | ↑ +117% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $394.40 | ↑ +122% |
| AETNA | HMO | $416.07 | ↑ +134% |
| AETNA | PPO | $416.07 | ↑ +134% |
| AETNA | ASA | $416.07 | ↑ +134% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $417.60 | ↑ +135% |
| QUALCARE | WORKERS COMP | $429.66 | ↑ +141% |
| QUALCARE | HMO | $429.66 | ↑ +141% |
| QUALCARE | PPO | $429.66 | ↑ +141% |
| AMERIHEALTH | LOCAL HMO | $438.94 | ↑ +147% |
| AMERIHEALTH | REGIONAL HMO | $438.94 | ↑ +147% |
| CIGNA | HMO | $446.65 | ↑ +151% |
| CIGNA | PPO | $446.65 | ↑ +151% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Hlth bhv ivntj indiv 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $152.50 | $91.53 – $91.53 |
| Bayshore Medical Center | Holmdel | $177.84 | $177.84 – $213.41 |
| Hackensack University Medical Center | Hackensack | $189.21 | $98.14 – $198.68 |
| Ocean University Medical Center | Brick | $175.59 | $95.79 – $210.71 |
| Jersey Shore University Medical Center | Neptune City | $177.84 | $33.47 – $213.41 |
| Palisades Medical Center | North Bergen | $189.21 | $72.06 – $206.24 |
| Raritan Bay Medical Center | Perth Amboy | $177.99 | $91.45 – $213.59 |
| Riverview Medical Center | Red Bank | $177.84 | $95.79 – $213.41 |