healthcosts.net
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$10,465.33
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.
$35,616.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $35,224.22 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 | $104.00 | ↓ -99% |
| HORIZON | HMO | $181.00 | ↓ -98% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -98% |
| KARNA | MEDICARE ADVANTAGE | $1,075.73 | ↓ -90% |
| CLOVER | MEDICARE ADVANTAGE | $6,410.88 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,657.44 | ↓ -27% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7,764.29 | ↓ -26% |
| HORIZON | MEDICARE ADVANTAGE | $10,465.33 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $10,465.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $10,465.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $10,465.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $10,465.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10,988.60 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $12,088.07 | ↑ +16% |
| AETNA | MANAGED MEDICAID | $12,451.35 | ↑ +19% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $17,808.00 | ↑ +70% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,369.60 | ↑ +104% |
| HORIZON | INDEMNITY | $21,690.14 | ↑ +107% |
| HORIZON | PIP | $21,690.14 | ↑ +107% |
| HORIZON | PPO | $21,690.14 | ↑ +107% |
| HORIZON | OMNIA | $21,690.14 | ↑ +107% |
| HORIZON | SHP | $21,690.14 | ↑ +107% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $23,150.40 | ↑ +121% |
| INTERGROUP | SHARED SAVINGS | $24,931.20 | ↑ +138% |
| INTERGROUP | WORKERS COMP | $24,931.20 | ↑ +138% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $24,931.20 | ↑ +138% |
| BERGEN RISK | ALL PRODUCTS | $26,712.00 | ↑ +155% |
| PRIME HEALTH | WORKERS COMP | $28,492.80 | ↑ +172% |
| PRIME HEALTH | AUTO INSURANCE | $28,492.80 | ↑ +172% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $30,273.60 | ↑ +189% |
| AETNA | PPO | $31,936.87 | ↑ +205% |
| AETNA | ASA | $31,936.87 | ↑ +205% |
| AETNA | HMO | $31,936.87 | ↑ +205% |
| QUALCARE | HMO | $32,980.42 | ↑ +215% |
| QUALCARE | WORKERS COMP | $32,980.42 | ↑ +215% |
| QUALCARE | PPO | $32,980.42 | ↑ +215% |
| CIGNA | PPO | $34,283.96 | ↑ +228% |
| CIGNA | HMO | $34,283.96 | ↑ +228% |
| AMERIHEALTH | LOCAL HMO | $35,224.22 | ↑ +237% |
| AMERIHEALTH | REGIONAL HMO | $35,224.22 | ↑ +237% |