healthcosts.net
Sleep Study (Polysomnography) at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$1,198.14
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.
$8,318.00
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.
$958.51 with OPTUM HEALTH vs $8,372.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $958.51 | ↓ -20% |
| KARNA | MEDICARE ADVANTAGE | $1,121.68 | ↓ -6% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,198.14 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,198.14 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,198.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,198.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,198.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,198.14 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $1,209.08 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,258.05 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $1,497.24 | ↑ +25% |
| HORIZON | MANAGED MEDICAID | $1,573.00 | ↑ +31% |
| AETNA | MANAGED MEDICAID | $2,087.82 | ↑ +74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,378.95 | ↑ +99% |
| OXFORD | ALL PRODUCTS | $4,994.00 | ↑ +317% |
| HORIZON | OMNIA | $5,447.46 | ↑ +355% |
| HORIZON | WORKERS COMP | $5,727.77 | ↑ +378% |
| INTERGROUP | ALL PRODUCTS | $5,822.60 | ↑ +386% |
| AETNA | PPO | $5,977.52 | ↑ +399% |
| AETNA | ASA | $5,977.52 | ↑ +399% |
| AETNA | HMO | $5,977.52 | ↑ +399% |
| HORIZON | PIP | $6,238.50 | ↑ +421% |
| BERGEN RISK | ALL PRODUCTS | $6,238.50 | ↑ +421% |
| LHP HEALTH | ALL PRODUCTS | $6,571.22 | ↑ +448% |
| CIGNA | BH | $6,654.40 | ↑ +455% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,070.30 | ↑ +490% |
| CHN | ALL PRODUCTS | $7,070.30 | ↑ +490% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,070.30 | ↑ +490% |
| QUALCARE | HMO | $7,336.48 | ↑ +512% |
| QUALCARE | WORKERS COMP | $7,336.48 | ↑ +512% |
| QUALCARE | PPO | $7,336.48 | ↑ +512% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $7,486.20 | ↑ +525% |
| HORIZON | HMO | $7,922.06 | ↑ +561% |
| HORIZON | INDEMNITY | $7,962.82 | ↑ +565% |
| HORIZON | SHP | $8,013.56 | ↑ +569% |
| CIGNA | PPO | $8,047.67 | ↑ +572% |
| CIGNA | HMO | $8,047.67 | ↑ +572% |
| HORIZON | FEDERAL | $8,111.71 | ↑ +577% |
| HORIZON | PPO | $8,111.71 | ↑ +577% |
| AMERIHEALTH | LOCAL HMO | $8,318.00 | ↑ +594% |
| AMERIHEALTH | REGIONAL HMO | $8,318.00 | ↑ +594% |
| UNITED HEALTHCARE | HMO | $8,372.00 | ↑ +599% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sleep Study (Polysomnography) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $8,109.90 |
| Ocean University Medical Center | Brick | $1,111.89 | $104.00 – $8,006.91 |