healthcosts.net
Repair/graft hand tendon at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$7,143.73
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.
?
What you pay up front if you don't use insurance.
$11,161.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,840.71 with KARNA vs $10,692.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,840.71 | ↓ -74% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,399.62 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $7,143.73 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7,143.73 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $7,143.73 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7,143.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,143.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,143.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,500.92 | ↑ +5% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,812.70 | ↑ +9% |
| INTERGROUP | SHARED SAVINGS | $7,812.70 | ↑ +9% |
| INTERGROUP | WORKERS COMP | $7,812.70 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $8,370.75 | ↑ +17% |
| PRIME HEALTH | AUTO INSURANCE | $8,928.80 | ↑ +25% |
| PRIME HEALTH | WORKERS COMP | $8,928.80 | ↑ +25% |
| CIGNA | HMO | $9,178.00 | ↑ +28% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,486.85 | ↑ +33% |
| CIGNA | PPO | $10,099.59 | ↑ +41% |
| AETNA | ASA | $10,692.00 | ↑ +50% |
| AETNA | HMO | $10,692.00 | ↑ +50% |
| AETNA | PPO | $10,692.00 | ↑ +50% |