Home sleep test/type 3 porta at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$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.
$1,126.00
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 $5,543.00 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% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $186.92 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $202.68 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $260.11 | ↑ +50% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $663.21 | ↑ +283% |
| HORIZON | WORKERS COMP | $813.65 | ↑ +370% |
| AETNA | PPO | $819.39 | ↑ +373% |
| AETNA | HMO | $819.39 | ↑ +373% |
| BERGEN RISK | ALL PRODUCTS | $844.50 | ↑ +388% |
| BEACON | ALL PRODUCTS | $844.50 | ↑ +388% |
| HORIZON | PIP | $858.01 | ↑ +395% |
| QUALCARE | HMO | $874.90 | ↑ +405% |
| QUALCARE | PPO | $874.90 | ↑ +405% |
| AETNA | ASA | $881.66 | ↑ +409% |
| HORIZON | OMNIA | $893.37 | ↑ +416% |
| CIGNA | BH | $900.80 | ↑ +420% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $957.10 | ↑ +453% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $957.10 | ↑ +453% |
| AMERIHEALTH | LOCAL HMO | $983.67 | ↑ +468% |
| QUALCARE | WORKERS COMP | $990.88 | ↑ +472% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,013.40 | ↑ +485% |
| CIGNA | HMO | $1,076.79 | ↑ +522% |
| CIGNA | PPO | $1,076.79 | ↑ +522% |
| HORIZON | SHP | $1,093.01 | ↑ +531% |
| HORIZON | HMO | $1,098.75 | ↑ +534% |
| HORIZON | INDEMNITY | $1,110.80 | ↑ +541% |
| AMERIHEALTH | REGIONAL HMO | $1,114.06 | ↑ +543% |
| HORIZON | PPO | $1,126.00 | ↑ +550% |
| UNITED HEALTHCARE | HMO | $4,706.00 | ↑ +2617% |
| OXFORD | ALL PRODUCTS | $5,543.00 | ↑ +3101% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Home sleep test/type 3 porta at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $0.01 – $4,254.00 |
| 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 |