Warde sugars single qualitative each specimen stool at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$5.50
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.
$323.00
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.
$2.90 with AETNA vs $25.88 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $2.90 | ↓ -47% |
| HORIZON | MANAGED MEDICAID | $3.43 | ↓ -38% |
| WELLCARE | MANAGED MEDICAID | $5.50 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $5.50 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5.50 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $5.50 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5.50 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5.50 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $5.50 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.50 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $5.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5.50 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5.78 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $7.32 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7.70 | ↑ +40% |
| UNITED HEALTHCARE | HMO | $11.99 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $11.99 | ↑ +118% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $12.60 | ↑ +129% |
| INTERGROUP | SHARED SAVINGS | $12.60 | ↑ +129% |
| INTERGROUP | WORKERS COMP | $12.60 | ↑ +129% |
| HORIZON | WORKERS COMP | $13.16 | ↑ +139% |
| HORIZON | PIP | $13.16 | ↑ +139% |
| HORIZON | OMNIA | $13.24 | ↑ +141% |
| BERGEN RISK | ALL PRODUCTS | $13.50 | ↑ +145% |
| QUALCARE | WORKERS COMP | $13.91 | ↑ +153% |
| QUALCARE | PPO | $13.91 | ↑ +153% |
| QUALCARE | HMO | $13.91 | ↑ +153% |
| PRIME HEALTH | AUTO INSURANCE | $14.40 | ↑ +162% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $14.40 | ↑ +162% |
| PRIME HEALTH | WORKERS COMP | $14.40 | ↑ +162% |
| AETNA | ASA | $15.12 | ↑ +175% |
| AETNA | PPO | $15.12 | ↑ +175% |
| AETNA | HMO | $15.12 | ↑ +175% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $15.30 | ↑ +178% |
| HORIZON | SHP | $15.79 | ↑ +187% |
| HORIZON | HMO | $16.34 | ↑ +197% |
| HORIZON | INDEMNITY | $16.56 | ↑ +201% |
| HORIZON | PPO | $16.73 | ↑ +204% |
| AMERIHEALTH | REGIONAL HMO | $17.03 | ↑ +210% |
| AMERIHEALTH | LOCAL HMO | $17.03 | ↑ +210% |
| CIGNA | HMO | $25.88 | ↑ +371% |
| CIGNA | PPO | $25.88 | ↑ +371% |
Visitor-reported prices
Comments
Warde sugars single qualitative each specimen stool at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $6.05 | $2.59 – $23.13 |
| Cooperman Barnabas Medical Center | Livingston | $6.05 | $2.59 – $22.70 |
| Community Medical Center | Toms River | $6.05 | $2.59 – $22.70 |
| Clara Maass Medical Center | Belleville | $6.05 | $2.59 – $22.70 |
| Childrens Specialized Hospital | Mountainside | $31.00 | $4.40 – $4.53 |
| Newark Beth Israel Medical Center | Newark | $6.05 | $2.59 – $22.70 |
| Jersey City Medical Center | Jersey City | $6.05 | $2.59 – $22.70 |
| Monmouth Medical Center | Long Branch | $6.05 | $2.59 – $22.70 |