Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$1,126.11
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.
$9,782.00
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.
$1,126.11 with WELLCARE vs $9,354.53 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $1,126.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,126.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,182.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,227.46 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,351.33 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,518.00 | ↑ +35% |
| AETNA | MANAGED MEDICAID | $1,604.25 | ↑ +42% |
| CLOVER | MEDICARE ADVANTAGE | $1,760.76 | ↑ +56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,829.23 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $5,634.00 | ↑ +400% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,761.60 | ↑ +412% |
| AMERIHEALTH | LOCAL HMO | $6,277.11 | ↑ +457% |
| HORIZON | PIP | $6,309.39 | ↑ +460% |
| HORIZON | WORKERS COMP | $6,309.39 | ↑ +460% |
| HORIZON | OMNIA | $6,680.13 | ↑ +493% |
| AMERIHEALTH | REGIONAL HMO | $6,989.24 | ↑ +521% |
| BERGEN RISK | ALL PRODUCTS | $7,336.50 | ↑ +551% |
| AETNA | HMO | $7,416.71 | ↑ +559% |
| AETNA | PPO | $7,416.71 | ↑ +559% |
| QUALCARE | PPO | $7,600.61 | ↑ +575% |
| QUALCARE | HMO | $7,600.61 | ↑ +575% |
| AETNA | ASA | $7,659.31 | ↑ +580% |
| CIGNA | BH | $7,825.60 | ↑ +595% |
| HORIZON | SHP | $8,168.95 | ↑ +625% |
| HORIZON | HMO | $8,249.16 | ↑ +633% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,314.70 | ↑ +638% |
| HORIZON | INDEMNITY | $8,367.52 | ↑ +643% |
| HORIZON | PPO | $8,443.82 | ↑ +650% |
| UNITED HEALTHCARE | HMO | $8,526.00 | ↑ +657% |
| QUALCARE | WORKERS COMP | $8,608.16 | ↑ +664% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,803.80 | ↑ +682% |
| CIGNA | HMO | $9,354.53 | ↑ +731% |
| CIGNA | PPO | $9,354.53 | ↑ +731% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,673.90 | $340.59 – $2,223.78 |
| Cooperman Barnabas Medical Center | Livingston | $1,889.72 | $1,141.43 – $2,282.86 |
| Community Medical Center | Toms River | $1,849.59 | $1,111.89 – $2,212.66 |
| Clara Maass Medical Center | Belleville | $1,773.79 | $1,141.43 – $2,271.45 |
| Newark Beth Israel Medical Center | Newark | $1,857.61 | $350.61 – $2,282.86 |
| Jersey City Medical Center | Jersey City | $1,853.16 | $440.76 – $2,384.30 |
| Monmouth Medical Center | Long Branch | $1,951.25 | $1,126.11 – $2,240.96 |
| Hackensack University Medical Center | Hackensack | $1,198.14 | $958.51 – $8,372.00 |