healthcosts.net
Mometasone sinus sinuva at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$11.35
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.
$3,522.54
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.
$9.65 with HORIZON vs $2,994.16 with MULTIPLAN - PHCS — 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 | MANAGED MEDICAID | $9.65 | ↓ -15% |
| AMERIGROUP | MEDICARE ADVANTAGE | $11.35 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $11.35 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $11.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11.92 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $15.09 | ↑ +33% |
| CLOVER | MEDICARE ADVANTAGE | $634.06 | ↑ +5486% |
| CIGNA | PPO | $1,109.60 | ↑ +9676% |
| CIGNA | HMO | $1,109.60 | ↑ +9676% |
| QUALCARE | HMO | $1,345.61 | ↑ +11756% |
| QUALCARE | WORKERS COMP | $1,345.61 | ↑ +11756% |
| QUALCARE | PPO | $1,345.61 | ↑ +11756% |
| WELLCARE | MEDICARE ADVANTAGE | $1,585.14 | ↑ +13866% |
| WELLCARE | MANAGED MEDICAID | $1,585.14 | ↑ +13866% |
| HORIZON | OMNIA | $1,648.55 | ↑ +14425% |
| HORIZON | SHP | $1,648.55 | ↑ +14425% |
| HORIZON | INDEMNITY | $1,649.96 | ↑ +14437% |
| HORIZON | PIP | $1,649.96 | ↑ +14437% |
| HORIZON | WORKERS COMP | $1,649.96 | ↑ +14437% |
| HORIZON | PPO | $1,649.96 | ↑ +14437% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,649.96 | ↑ +14437% |
| HORIZON | HMO | $1,649.96 | ↑ +14437% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,761.27 | ↑ +15418% |
| AMERIGROUP | MANAGED MEDICAID | $1,761.27 | ↑ +15418% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,761.27 | ↑ +15418% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,771.84 | ↑ +15511% |
| AETNA | PPO | $1,824.68 | ↑ +15976% |
| AETNA | ASA | $1,824.68 | ↑ +15976% |
| AETNA | HMO | $1,824.68 | ↑ +15976% |
| UNITED HEALTHCARE | HMO | $1,905.69 | ↑ +16690% |
| OXFORD | ALL PRODUCTS | $1,905.69 | ↑ +16690% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $1,969.10 | ↑ +17249% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $2,113.52 | ↑ +18521% |
| BERGEN RISK | ALL PRODUCTS | $2,113.52 | ↑ +18521% |
| INTERGROUP | SHARED SAVINGS | $2,465.78 | ↑ +21625% |
| INTERGROUP | WORKERS COMP | $2,465.78 | ↑ +21625% |
| PRIME HEALTH | WORKERS COMP | $2,818.03 | ↑ +24728% |
| PRIME HEALTH | AUTO INSURANCE | $2,818.03 | ↑ +24728% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,994.16 | ↑ +26280% |