healthcosts.net
Insertion single tranvenous electrode/ppm/implantable defibrillator at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$8,275.98
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.
$11,223.00
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 $11,099.55 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 | $779.18 | ↓ -91% |
| CLOVER | MEDICARE ADVANTAGE | $2,020.14 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,412.95 | ↓ -71% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,446.61 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,809.09 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $3,923.56 | ↓ -53% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $5,611.50 | ↓ -32% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,733.80 | ↓ -19% |
| HORIZON | INDEMNITY | $6,834.81 | ↓ -17% |
| HORIZON | PIP | $6,834.81 | ↓ -17% |
| HORIZON | PPO | $6,834.81 | ↓ -17% |
| HORIZON | OMNIA | $6,834.81 | ↓ -17% |
| HORIZON | SHP | $6,834.81 | ↓ -17% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $7,294.95 | ↓ -12% |
| INTERGROUP | SHARED SAVINGS | $7,856.10 | ↓ -5% |
| INTERGROUP | WORKERS COMP | $7,856.10 | ↓ -5% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,856.10 | ↓ -5% |
| HORIZON | MEDICARE ADVANTAGE | $8,275.98 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $8,275.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $8,275.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8,275.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8,275.98 | ↑ +0% |
| BERGEN RISK | ALL PRODUCTS | $8,417.25 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,689.78 | ↑ +5% |
| PRIME HEALTH | WORKERS COMP | $8,978.40 | ↑ +8% |
| PRIME HEALTH | AUTO INSURANCE | $8,978.40 | ↑ +8% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,539.55 | ↑ +15% |
| AETNA | PPO | $10,063.66 | ↑ +22% |
| AETNA | ASA | $10,063.66 | ↑ +22% |
| AETNA | HMO | $10,063.66 | ↑ +22% |
| QUALCARE | HMO | $10,392.50 | ↑ +26% |
| QUALCARE | WORKERS COMP | $10,392.50 | ↑ +26% |
| QUALCARE | PPO | $10,392.50 | ↑ +26% |
| CIGNA | PPO | $10,803.26 | ↑ +31% |
| CIGNA | HMO | $10,803.26 | ↑ +31% |
| AMERIHEALTH | LOCAL HMO | $11,099.55 | ↑ +34% |
| AMERIHEALTH | REGIONAL HMO | $11,099.55 | ↑ +34% |