healthcosts.net
Pt therapeutic procedure >=1 area massage each 15 minutes at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$38.63
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.
$261.00
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.
$38.63 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $38.63 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $38.63 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $38.63 | ↑ +0% |
| VACCN | ALL PRODUCTS | $38.63 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $40.56 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $46.98 | ↑ +22% |
| KARNA | MEDICARE ADVANTAGE | $52.84 | ↑ +37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $56.12 | ↑ +45% |
| AMERIGROUP | MEDICARE ADVANTAGE | $56.90 | ↑ +47% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $88.58 | ↑ +129% |
| AETNA | MANAGED MEDICAID | $91.25 | ↑ +136% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +169% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +200% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $130.50 | ↑ +238% |
| HORIZON | INDEMNITY | $158.95 | ↑ +311% |
| HORIZON | PIP | $158.95 | ↑ +311% |
| HORIZON | PPO | $158.95 | ↑ +311% |
| HORIZON | OMNIA | $158.95 | ↑ +311% |
| HORIZON | SHP | $158.95 | ↑ +311% |
| HORIZON | HMO | $181.00 | ↑ +369% |
| INTERGROUP | SHARED SAVINGS | $182.70 | ↑ +373% |
| INTERGROUP | WORKERS COMP | $182.70 | ↑ +373% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $182.70 | ↑ +373% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +387% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +400% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +400% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +431% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +431% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +431% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +431% |
| PRIME HEALTH | WORKERS COMP | $208.80 | ↑ +441% |
| PRIME HEALTH | AUTO INSURANCE | $208.80 | ↑ +441% |
| AETNA | PPO | $221.43 | ↑ +473% |
| AETNA | ASA | $221.43 | ↑ +473% |
| AETNA | HMO | $221.43 | ↑ +473% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $221.85 | ↑ +474% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +480% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +480% |
| CIGNA | PPO | $251.24 | ↑ +550% |
| CIGNA | HMO | $251.24 | ↑ +550% |
| QUALCARE | HMO | $257.15 | ↑ +566% |
| AMERIHEALTH | LOCAL HMO | $258.13 | ↑ +568% |
| AMERIHEALTH | REGIONAL HMO | $258.13 | ↑ +568% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +653% |
| QUALCARE | WORKERS COMP | $300.33 | ↑ +677% |
| QUALCARE | PPO | $300.33 | ↑ +677% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +972% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +1194% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $525.00 | ↑ +1259% |
| UNITED HEALTHCARE | HMO | $558.00 | ↑ +1344% |