Polysom <6 yrs cpap/bilvl at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,111.89
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.
$9,523.00
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.
$889.00 with OXFORD vs $9,295.00 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 |
|---|---|---|---|
| OXFORD | ALL PRODUCTS | $889.00 | ↓ -20% |
| VACCN | ALL PRODUCTS | $1,111.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,111.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,111.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,111.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,167.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,211.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,334.26 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,580.00 | ↑ +42% |
| CLOVER | MEDICARE ADVANTAGE | $1,714.14 | ↑ +54% |
| AETNA | MANAGED MEDICAID | $1,761.76 | ↑ +58% |
| KARNA | MEDICARE ADVANTAGE | $1,775.96 | ↑ +60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,952.22 | ↑ +76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,609.05 | ↑ +404% |
| AMERIHEALTH | LOCAL HMO | $6,175.67 | ↑ +455% |
| HORIZON | PIP | $6,199.47 | ↑ +458% |
| HORIZON | WORKERS COMP | $6,398.50 | ↑ +475% |
| HORIZON | OMNIA | $6,876.56 | ↑ +518% |
| AMERIHEALTH | REGIONAL HMO | $6,876.56 | ↑ +518% |
| BERGEN RISK | ALL PRODUCTS | $7,142.25 | ↑ +542% |
| AETNA | ASA | $7,456.51 | ↑ +571% |
| CIGNA | BH | $7,618.40 | ↑ +585% |
| AETNA | HMO | $8,094.55 | ↑ +628% |
| AETNA | PPO | $8,094.55 | ↑ +628% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,094.55 | ↑ +628% |
| HORIZON | SHP | $8,174.54 | ↑ +635% |
| HORIZON | INDEMNITY | $8,475.47 | ↑ +662% |
| HORIZON | HMO | $8,481.18 | ↑ +663% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,570.70 | ↑ +671% |
| QUALCARE | WORKERS COMP | $8,646.88 | ↑ +678% |
| QUALCARE | HMO | $8,646.88 | ↑ +678% |
| QUALCARE | PPO | $8,646.88 | ↑ +678% |
| HORIZON | PPO | $8,705.93 | ↑ +683% |
| CIGNA | PPO | $9,106.84 | ↑ +719% |
| CIGNA | HMO | $9,106.84 | ↑ +719% |
| UNITED HEALTHCARE | HMO | $9,295.00 | ↑ +736% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,490.71 | $1,111.89 – $2,223.78 |
| 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 |