Sleep study unattended at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$173.33
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.
$1,357.00
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.
$0.01 with HORIZON vs $4,254.00 with UNITED HEALTHCARE — 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 | MANAGED MEDICAID | $0.01 | ↓ -100% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -40% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -5% |
| KARNA | MEDICARE ADVANTAGE | $166.38 | ↓ -4% |
| AMERIGROUP | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| HORIZON | HMO | $181.00 | ↑ +4% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +8% |
| AETNA | MANAGED MEDICAID | $218.48 | ↑ +26% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $233.27 | ↑ +35% |
| CLOVER | MEDICARE ADVANTAGE | $244.26 | ↑ +41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $291.76 | ↑ +68% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $678.50 | ↑ +291% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $814.20 | ↑ +370% |
| HORIZON | INDEMNITY | $826.41 | ↑ +377% |
| HORIZON | SHP | $826.41 | ↑ +377% |
| HORIZON | PPO | $826.41 | ↑ +377% |
| HORIZON | OMNIA | $826.41 | ↑ +377% |
| HORIZON | PIP | $826.41 | ↑ +377% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $882.05 | ↑ +409% |
| INTERGROUP | SHARED SAVINGS | $949.90 | ↑ +448% |
| INTERGROUP | WORKERS COMP | $949.90 | ↑ +448% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $949.90 | ↑ +448% |
| BERGEN RISK | ALL PRODUCTS | $1,017.75 | ↑ +487% |
| PRIME HEALTH | WORKERS COMP | $1,085.60 | ↑ +526% |
| PRIME HEALTH | AUTO INSURANCE | $1,085.60 | ↑ +526% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,153.45 | ↑ +565% |
| AETNA | PPO | $1,196.87 | ↑ +591% |
| AETNA | ASA | $1,196.87 | ↑ +591% |
| AETNA | HMO | $1,196.87 | ↑ +591% |
| QUALCARE | HMO | $1,256.58 | ↑ +625% |
| QUALCARE | WORKERS COMP | $1,256.58 | ↑ +625% |
| QUALCARE | PPO | $1,256.58 | ↑ +625% |
| AMERIHEALTH | LOCAL HMO | $1,283.72 | ↑ +641% |
| AMERIHEALTH | REGIONAL HMO | $1,283.72 | ↑ +641% |
| CIGNA | HMO | $1,306.25 | ↑ +654% |
| CIGNA | PPO | $1,306.25 | ↑ +654% |
| OXFORD | ALL PRODUCTS | $3,690.00 | ↑ +2029% |
| UNITED HEALTHCARE | HMO | $4,254.00 | ↑ +2354% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sleep study unattended at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $524.24 | $48.68 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $647.56 | $175.54 – $351.08 |
| Community Medical Center | Toms River | $579.26 | $170.99 – $340.27 |
| Clara Maass Medical Center | Belleville | $451.30 | $175.54 – $349.32 |
| Newark Beth Israel Medical Center | Newark | $636.56 | $50.12 – $351.08 |
| Jersey City Medical Center | Jersey City | $580.38 | $63.00 – $366.68 |
| Monmouth Medical Center | Long Branch | $611.10 | $173.18 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $0.01 – $5,634.00 |