Polysom <6 yrs cpap/bilvl at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$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.
?
What you pay up front if you don't use insurance.
$6,112.00
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.
$1,014.59 with AETNA vs $8,187.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,014.59 | ↓ -10% |
| CLOVER | MEDICARE ADVANTAGE | $1,100.16 | ↓ -2% |
| WELLCARE | MANAGED MEDICAID | $1,126.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,126.11 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,411.87 | ↑ +25% |
| HORIZON | MANAGED MEDICAID | $1,720.00 | ↑ +53% |
| KARNA | MEDICARE ADVANTAGE | $1,775.96 | ↑ +58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,599.97 | ↑ +220% |
| AMERIHEALTH | LOCAL HMO | $3,988.08 | ↑ +254% |
| HORIZON | WORKERS COMP | $4,416.53 | ↑ +292% |
| AMERIHEALTH | REGIONAL HMO | $4,440.37 | ↑ +294% |
| AETNA | HMO | $4,447.70 | ↑ +295% |
| AETNA | PPO | $4,447.70 | ↑ +295% |
| BEACON | ALL PRODUCTS | $4,584.00 | ↑ +307% |
| BERGEN RISK | ALL PRODUCTS | $4,584.00 | ↑ +307% |
| HORIZON | PIP | $4,657.34 | ↑ +314% |
| QUALCARE | HMO | $4,749.02 | ↑ +322% |
| QUALCARE | PPO | $4,749.02 | ↑ +322% |
| AETNA | ASA | $4,785.70 | ↑ +325% |
| HORIZON | OMNIA | $4,849.26 | ↑ +331% |
| CIGNA | BH | $4,889.60 | ↑ +334% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,195.20 | ↑ +361% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,195.20 | ↑ +361% |
| QUALCARE | WORKERS COMP | $5,378.56 | ↑ +378% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,500.80 | ↑ +388% |
| OXFORD | ALL PRODUCTS | $5,543.00 | ↑ +392% |
| CIGNA | HMO | $5,844.91 | ↑ +419% |
| CIGNA | PPO | $5,844.91 | ↑ +419% |
| HORIZON | SHP | $5,932.92 | ↑ +427% |
| HORIZON | HMO | $5,964.09 | ↑ +430% |
| HORIZON | INDEMNITY | $6,029.49 | ↑ +435% |
| HORIZON | PPO | $6,112.00 | ↑ +443% |
| UNITED HEALTHCARE | HMO | $8,187.00 | ↑ +627% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | 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 |