Polysom <6 yrs cpap/bilvl at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$1,490.71
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.
$7,942.00
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.
$1,111.89 with Wellpoint vs $7,870.00 with Aetna — 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 |
|---|---|---|---|
| Wellpoint | Medicare Advantage | $1,111.89 | ↓ -25% |
| Humana | Medicare | $1,111.89 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,111.89 | ↓ -25% |
| Fidelis Care | Medicare Advantage | $1,111.89 | ↓ -25% |
| Aetna | Medicare | $1,111.89 | ↓ -25% |
| Clover Health | Medicare Advantage | $1,111.89 | ↓ -25% |
| United Healthcare | Medicare | $1,134.13 | ↓ -24% |
| United Healthcare | Community Plan | $1,192.88 | ↓ -20% |
| Aetna | Better Health | $1,306.45 | ↓ -12% |
| Qualcare Inc | HMO/POS/PPO/WC | $1,626.68 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,706.76 | ↑ +14% |
| Amerihealth | Local Value | $2,148.00 | ↑ +44% |
| Amerihealth | Regional Preferred | $2,148.00 | ↑ +44% |
| Wellcare | Ambetter Health Commercial | $2,212.66 | ↑ +48% |
| Emblem Health | Commercial | $2,223.78 | ↑ +49% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,789.51 | ↑ +87% |
| United Healthcare | Nexus | $3,964.00 | ↑ +166% |
| United Healthcare | Oxford Metro | $3,964.00 | ↑ +166% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,394.52 | ↑ +195% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,599.78 | ↑ +209% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,652.81 | ↑ +212% |
| United Healthcare | Oxford Commercial | $4,663.00 | ↑ +213% |
| United Healthcare | Commercial | $4,663.00 | ↑ +213% |
| First Health | Commercial | $4,765.20 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,064.61 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,064.61 | ↑ +240% |
| Cigna | HMO | $5,819.10 | ↑ +290% |
| Cigna | PPO | $6,128.84 | ↑ +311% |
| Aetna | PPO | $7,870.00 | ↑ +428% |
| Aetna | HMO | $7,870.00 | ↑ +428% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 |
| Hackensack University Medical Center | Hackensack | $1,198.14 | $958.51 – $8,372.00 |