healthcosts.net
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$66.46
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.
$206.00
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.
$37.08 with CLOVER vs $558.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $37.08 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.29 | ↓ -33% |
| AMERIGROUP | MEDICARE ADVANTAGE | $44.91 | ↓ -32% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $66.46 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $66.46 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $66.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $66.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.78 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $69.92 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $72.02 | ↑ +8% |
| KARNA | MEDICARE ADVANTAGE | $91.90 | ↑ +38% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $103.00 | ↑ +55% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +56% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +75% |
| HORIZON | INDEMNITY | $125.45 | ↑ +89% |
| HORIZON | PIP | $125.45 | ↑ +89% |
| HORIZON | PPO | $125.45 | ↑ +89% |
| HORIZON | OMNIA | $125.45 | ↑ +89% |
| HORIZON | SHP | $125.45 | ↑ +89% |
| INTERGROUP | SHARED SAVINGS | $144.20 | ↑ +117% |
| INTERGROUP | WORKERS COMP | $144.20 | ↑ +117% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $144.20 | ↑ +117% |
| PRIME HEALTH | WORKERS COMP | $164.80 | ↑ +148% |
| PRIME HEALTH | AUTO INSURANCE | $164.80 | ↑ +148% |
| AETNA | PPO | $174.77 | ↑ +163% |
| AETNA | ASA | $174.77 | ↑ +163% |
| AETNA | HMO | $174.77 | ↑ +163% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $175.10 | ↑ +163% |
| HORIZON | HMO | $181.00 | ↑ +172% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +183% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +190% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +190% |
| CIGNA | PPO | $198.30 | ↑ +198% |
| CIGNA | HMO | $198.30 | ↑ +198% |
| AMERIHEALTH | LOCAL HMO | $203.73 | ↑ +207% |
| AMERIHEALTH | REGIONAL HMO | $203.73 | ↑ +207% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +208% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +208% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +208% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +208% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +237% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +237% |
| QUALCARE | HMO | $257.15 | ↑ +287% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +338% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +352% |
| QUALCARE | PPO | $300.33 | ↑ +352% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +523% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +652% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +690% |
| UNITED HEALTHCARE | HMO | $558.00 | ↑ +740% |