healthcosts.net
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$32,061.58
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.
$44,105.00
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 $43,619.85 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 | ↓ -100% |
| HORIZON | HMO | $181.00 | ↓ -99% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -99% |
| KARNA | MEDICARE ADVANTAGE | $1,894.53 | ↓ -94% |
| CLOVER | MEDICARE ADVANTAGE | $7,938.90 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,482.58 | ↓ -70% |
| AMERIGROUP | MEDICARE ADVANTAGE | $9,614.89 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14,969.24 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $15,419.11 | ↓ -52% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $22,052.50 | ↓ -31% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $26,463.00 | ↓ -17% |
| HORIZON | INDEMNITY | $26,859.95 | ↓ -16% |
| HORIZON | PIP | $26,859.95 | ↓ -16% |
| HORIZON | PPO | $26,859.95 | ↓ -16% |
| HORIZON | OMNIA | $26,859.95 | ↓ -16% |
| HORIZON | SHP | $26,859.95 | ↓ -16% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $28,668.25 | ↓ -11% |
| INTERGROUP | SHARED SAVINGS | $30,873.50 | ↓ -4% |
| INTERGROUP | WORKERS COMP | $30,873.50 | ↓ -4% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $30,873.50 | ↓ -4% |
| HORIZON | MEDICARE ADVANTAGE | $32,061.58 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $32,061.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $32,061.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32,061.58 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $32,061.58 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $33,078.75 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $33,664.66 | ↑ +5% |
| PRIME HEALTH | WORKERS COMP | $35,284.00 | ↑ +10% |
| PRIME HEALTH | AUTO INSURANCE | $35,284.00 | ↑ +10% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $37,489.25 | ↑ +17% |
| AETNA | PPO | $39,548.95 | ↑ +23% |
| AETNA | ASA | $39,548.95 | ↑ +23% |
| AETNA | HMO | $39,548.95 | ↑ +23% |
| QUALCARE | HMO | $40,841.23 | ↑ +27% |
| QUALCARE | WORKERS COMP | $40,841.23 | ↑ +27% |
| QUALCARE | PPO | $40,841.23 | ↑ +27% |
| CIGNA | PPO | $42,455.47 | ↑ +32% |
| CIGNA | HMO | $42,455.47 | ↑ +32% |
| AMERIHEALTH | LOCAL HMO | $43,619.85 | ↑ +36% |
| AMERIHEALTH | REGIONAL HMO | $43,619.85 | ↑ +36% |