Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap 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.
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What you pay up front if you don't use insurance.
$9,371.00
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.
$1,112.98 with KARNA vs $9,371.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,112.98 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,126.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,126.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| OPTUM HEALTH | 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% |
| AETNA | MANAGED MEDICAID | $1,555.59 | ↑ +38% |
| CLOVER | MEDICARE ADVANTAGE | $1,686.78 | ↑ +50% |
| HORIZON | MANAGED MEDICAID | $1,720.00 | ↑ +53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,164.70 | ↑ +92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,519.52 | ↑ +390% |
| OXFORD | ALL PRODUCTS | $5,543.00 | ↑ +392% |
| AMERIHEALTH | LOCAL HMO | $6,114.58 | ↑ +443% |
| HORIZON | WORKERS COMP | $6,771.48 | ↑ +501% |
| AMERIHEALTH | REGIONAL HMO | $6,808.03 | ↑ +505% |
| AETNA | PPO | $6,819.28 | ↑ +506% |
| AETNA | HMO | $6,819.28 | ↑ +506% |
| BERGEN RISK | ALL PRODUCTS | $7,028.25 | ↑ +524% |
| BEACON | ALL PRODUCTS | $7,028.25 | ↑ +524% |
| HORIZON | PIP | $7,140.70 | ↑ +534% |
| QUALCARE | HMO | $7,281.27 | ↑ +547% |
| QUALCARE | PPO | $7,281.27 | ↑ +547% |
| AETNA | ASA | $7,337.49 | ↑ +552% |
| HORIZON | OMNIA | $7,434.95 | ↑ +560% |
| CIGNA | BH | $7,496.80 | ↑ +566% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,965.35 | ↑ +607% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,965.35 | ↑ +607% |
| UNITED HEALTHCARE | HMO | $8,187.00 | ↑ +627% |
| QUALCARE | WORKERS COMP | $8,246.48 | ↑ +632% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,433.90 | ↑ +649% |
| CIGNA | HMO | $8,961.49 | ↑ +696% |
| CIGNA | PPO | $8,961.49 | ↑ +696% |
| HORIZON | SHP | $9,096.43 | ↑ +708% |
| HORIZON | HMO | $9,144.22 | ↑ +712% |
| HORIZON | INDEMNITY | $9,244.49 | ↑ +721% |
| HORIZON | PPO | $9,371.00 | ↑ +732% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | 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 |
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $5,634.00 |