Home sleep test/type 2 porta at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$173.18
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.
$3,633.00
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 $5,634.00 with OXFORD — 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 | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $595.81 | ↑ +244% |
| CLOVER | MEDICARE ADVANTAGE | $653.94 | ↑ +278% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $679.37 | ↑ +292% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,139.84 | ↑ +1136% |
| HORIZON | WORKERS COMP | $2,343.29 | ↑ +1253% |
| HORIZON | PIP | $2,343.29 | ↑ +1253% |
| HORIZON | OMNIA | $2,480.98 | ↑ +1333% |
| BERGEN RISK | ALL PRODUCTS | $2,724.75 | ↑ +1473% |
| AETNA | HMO | $2,754.54 | ↑ +1491% |
| AETNA | PPO | $2,754.54 | ↑ +1491% |
| QUALCARE | HMO | $2,822.84 | ↑ +1530% |
| QUALCARE | PPO | $2,822.84 | ↑ +1530% |
| AETNA | ASA | $2,844.64 | ↑ +1543% |
| CIGNA | BH | $2,906.40 | ↑ +1578% |
| HORIZON | SHP | $3,033.92 | ↑ +1652% |
| HORIZON | HMO | $3,063.71 | ↑ +1669% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,088.05 | ↑ +1683% |
| HORIZON | INDEMNITY | $3,107.67 | ↑ +1694% |
| AMERIHEALTH | LOCAL HMO | $3,121.47 | ↑ +1702% |
| HORIZON | PPO | $3,136.01 | ↑ +1711% |
| QUALCARE | WORKERS COMP | $3,197.04 | ↑ +1746% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,269.70 | ↑ +1788% |
| CIGNA | PPO | $3,474.24 | ↑ +1906% |
| CIGNA | HMO | $3,474.24 | ↑ +1906% |
| AMERIHEALTH | REGIONAL HMO | $3,535.64 | ↑ +1942% |
| UNITED HEALTHCARE | HMO | $4,981.00 | ↑ +2776% |
| OXFORD | ALL PRODUCTS | $5,634.00 | ↑ +3153% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Home sleep test/type 2 porta at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $184.26 | $0.01 – $5,062.00 |
| Ocean University Medical Center | Brick | $170.99 | $0.01 – $5,667.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $0.01 – $4,254.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $5,543.00 |
| Palisades Medical Center | North Bergen | $184.26 | $0.01 – $10,512.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $0.01 – $1,818.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $5,942.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $170.99 – $889.00 |