Polysom <6 yrs cpap/bilvl 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.
$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.
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The hospital's undiscounted list price — almost no one pays this.
$104.00 with HORIZON BCBS BRAVEN vs $5,883.41 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% |
| AETNA | MANAGED MEDICAID | $984.03 | ↓ -13% |
| 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% |
| WELLCARE | MANAGED MEDICAID | $1,017.39 | ↓ -10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,050.65 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,068.26 | ↓ -5% |
| CLOVER | MEDICARE ADVANTAGE | $1,100.16 | ↓ -2% |
| HORIZON | MANAGED MEDICAID | $1,124.00 | ↓ -0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,127.09 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,314.08 | ↑ +17% |
| KARNA | MEDICARE ADVANTAGE | $1,874.06 | ↑ +66% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $3,056.00 | ↑ +171% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,667.20 | ↑ +225% |
| OXFORD | ALL PRODUCTS | $3,690.00 | ↑ +227% |
| HORIZON | PIP | $3,722.21 | ↑ +230% |
| HORIZON | INDEMNITY | $3,722.21 | ↑ +230% |
| HORIZON | OMNIA | $3,722.21 | ↑ +230% |
| HORIZON | PPO | $3,722.21 | ↑ +230% |
| HORIZON | SHP | $3,722.21 | ↑ +230% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $3,972.80 | ↑ +252% |
| UNITED HEALTHCARE | HMO | $4,254.00 | ↑ +277% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,278.40 | ↑ +280% |
| INTERGROUP | SHARED SAVINGS | $4,278.40 | ↑ +280% |
| INTERGROUP | WORKERS COMP | $4,278.40 | ↑ +280% |
| BERGEN RISK | ALL PRODUCTS | $4,584.00 | ↑ +307% |
| AMERIHEALTH | LOCAL HMO | $4,821.00 | ↑ +328% |
| PRIME HEALTH | AUTO INSURANCE | $4,889.60 | ↑ +334% |
| PRIME HEALTH | WORKERS COMP | $4,889.60 | ↑ +334% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,195.20 | ↑ +361% |
| AMERIHEALTH | REGIONAL HMO | $5,356.00 | ↑ +375% |
| AETNA | ASA | $5,390.78 | ↑ +378% |
| AETNA | PPO | $5,390.78 | ↑ +378% |
| AETNA | HMO | $5,390.78 | ↑ +378% |
| QUALCARE | HMO | $5,659.71 | ↑ +402% |
| QUALCARE | WORKERS COMP | $5,659.71 | ↑ +402% |
| QUALCARE | PPO | $5,659.71 | ↑ +402% |
| CIGNA | HMO | $5,883.41 | ↑ +422% |
| CIGNA | PPO | $5,883.41 | ↑ +422% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,490.71 | $1,111.89 – $2,223.78 |
| Cooperman Barnabas Medical Center | Livingston | $1,682.90 | $1,141.43 – $2,282.86 |
| Community Medical Center | Toms River | $1,647.17 | $1,111.89 – $2,212.66 |
| Clara Maass Medical Center | Belleville | $1,579.66 | $1,141.43 – $2,271.45 |
| Newark Beth Israel Medical Center | Newark | $1,654.31 | $1,141.43 – $2,282.86 |
| Jersey City Medical Center | Jersey City | $1,650.34 | $1,198.14 – $2,384.30 |
| Monmouth Medical Center | Long Branch | $1,737.70 | $1,126.11 – $2,240.96 |
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $5,634.00 |