healthcosts.net
Polysom <6 yrs cpap/bilvl at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$1,017.39
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.
$6,112.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $6,044.77 with AMERIHEALTH — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -90% |
| HORIZON | HMO | $181.00 | ↓ -82% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -82% |
| HORIZON | MEDICARE ADVANTAGE | $1,017.39 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $1,017.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,017.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,017.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,017.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,068.26 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $1,100.16 | ↑ +8% |
| HORIZON | MANAGED MEDICAID | $1,124.00 | ↑ +10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,314.08 | ↑ +29% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,332.42 | ↑ +31% |
| KARNA | MEDICARE ADVANTAGE | $1,874.06 | ↑ +84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,074.41 | ↑ +104% |
| AETNA | MANAGED MEDICAID | $2,136.76 | ↑ +110% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $3,056.00 | ↑ +200% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,667.20 | ↑ +260% |
| HORIZON | INDEMNITY | $3,722.21 | ↑ +266% |
| HORIZON | PIP | $3,722.21 | ↑ +266% |
| HORIZON | PPO | $3,722.21 | ↑ +266% |
| HORIZON | OMNIA | $3,722.21 | ↑ +266% |
| HORIZON | SHP | $3,722.21 | ↑ +266% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $3,972.80 | ↑ +290% |
| INTERGROUP | SHARED SAVINGS | $4,278.40 | ↑ +321% |
| INTERGROUP | WORKERS COMP | $4,278.40 | ↑ +321% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,278.40 | ↑ +321% |
| BERGEN RISK | ALL PRODUCTS | $4,584.00 | ↑ +351% |
| PRIME HEALTH | WORKERS COMP | $4,889.60 | ↑ +381% |
| PRIME HEALTH | AUTO INSURANCE | $4,889.60 | ↑ +381% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,195.20 | ↑ +411% |
| AETNA | PPO | $5,390.78 | ↑ +430% |
| AETNA | ASA | $5,390.78 | ↑ +430% |
| AETNA | HMO | $5,390.78 | ↑ +430% |
| QUALCARE | HMO | $5,659.71 | ↑ +456% |
| QUALCARE | WORKERS COMP | $5,659.71 | ↑ +456% |
| QUALCARE | PPO | $5,659.71 | ↑ +456% |
| CIGNA | PPO | $5,883.41 | ↑ +478% |
| CIGNA | HMO | $5,883.41 | ↑ +478% |
| AMERIHEALTH | LOCAL HMO | $6,044.77 | ↑ +494% |
| AMERIHEALTH | REGIONAL HMO | $6,044.77 | ↑ +494% |