Ghs polysom <6 yrs 4/> parameters at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,127.09
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.
$8,191.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $7,884.66 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -91% |
| HORIZON | HMO | $181.00 | ↓ -84% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -83% |
| WELLCARE | MANAGED MEDICAID | $1,017.39 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $1,017.39 | ↓ -10% |
| VACCN | ALL PRODUCTS | $1,017.39 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $1,017.39 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $1,017.39 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,068.26 | ↓ -5% |
| HORIZON | MANAGED MEDICAID | $1,124.00 | ↓ -0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,127.09 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $1,318.75 | ↑ +17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,408.03 | ↑ +25% |
| CLOVER | MEDICARE ADVANTAGE | $1,474.38 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,761.07 | ↑ +56% |
| KARNA | MEDICARE ADVANTAGE | $1,768.09 | ↑ +57% |
| OXFORD | ALL PRODUCTS | $3,690.00 | ↑ +227% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $4,095.50 | ↑ +263% |
| UNITED HEALTHCARE | HMO | $4,254.00 | ↑ +277% |
| AMERIHEALTH | LOCAL HMO | $4,821.00 | ↑ +328% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,914.60 | ↑ +336% |
| HORIZON | PIP | $4,988.32 | ↑ +343% |
| HORIZON | INDEMNITY | $4,988.32 | ↑ +343% |
| HORIZON | OMNIA | $4,988.32 | ↑ +343% |
| HORIZON | PPO | $4,988.32 | ↑ +343% |
| HORIZON | SHP | $4,988.32 | ↑ +343% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $5,324.15 | ↑ +372% |
| AMERIHEALTH | REGIONAL HMO | $5,356.00 | ↑ +375% |
| INTERGROUP | SHARED SAVINGS | $5,733.70 | ↑ +409% |
| INTERGROUP | WORKERS COMP | $5,733.70 | ↑ +409% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,733.70 | ↑ +409% |
| BERGEN RISK | ALL PRODUCTS | $6,143.25 | ↑ +445% |
| PRIME HEALTH | AUTO INSURANCE | $6,552.80 | ↑ +481% |
| PRIME HEALTH | WORKERS COMP | $6,552.80 | ↑ +481% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,962.35 | ↑ +518% |
| AETNA | ASA | $7,224.46 | ↑ +541% |
| AETNA | PPO | $7,224.46 | ↑ +541% |
| AETNA | HMO | $7,224.46 | ↑ +541% |
| QUALCARE | HMO | $7,584.87 | ↑ +573% |
| QUALCARE | WORKERS COMP | $7,584.87 | ↑ +573% |
| QUALCARE | PPO | $7,584.87 | ↑ +573% |
| CIGNA | HMO | $7,884.66 | ↑ +600% |
| CIGNA | PPO | $7,884.66 | ↑ +600% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs polysom <6 yrs 4/> parameters at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,529.56 | $1,111.89 – $2,223.78 |
| Cooperman Barnabas Medical Center | Livingston | $1,726.77 | $1,141.43 – $2,282.86 |
| Community Medical Center | Toms River | $1,690.10 | $1,111.89 – $2,212.66 |
| Clara Maass Medical Center | Belleville | $1,620.83 | $1,141.43 – $2,271.45 |
| Newark Beth Israel Medical Center | Newark | $1,697.43 | $1,141.43 – $2,282.86 |
| Jersey City Medical Center | Jersey City | $1,693.36 | $1,198.14 – $2,384.30 |
| Monmouth Medical Center | Long Branch | $1,783.00 | $1,126.11 – $2,240.96 |
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $5,634.00 |