Sleep study attended at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$587.30
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.
$2,576.00
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.
$427.62 with AETNA vs $8,187.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $427.62 | ↓ -27% |
| CLOVER | MEDICARE ADVANTAGE | $463.68 | ↓ -21% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $587.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $587.30 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $595.06 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $616.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $640.16 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $700.70 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $704.76 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,517.26 | ↑ +158% |
| AMERIHEALTH | LOCAL HMO | $1,680.84 | ↑ +186% |
| HORIZON | MANAGED MEDICAID | $1,720.00 | ↑ +193% |
| HORIZON | WORKERS COMP | $1,861.42 | ↑ +217% |
| AMERIHEALTH | REGIONAL HMO | $1,871.46 | ↑ +219% |
| AETNA | HMO | $1,874.56 | ↑ +219% |
| AETNA | PPO | $1,874.56 | ↑ +219% |
| BEACON | ALL PRODUCTS | $1,932.00 | ↑ +229% |
| BERGEN RISK | ALL PRODUCTS | $1,932.00 | ↑ +229% |
| HORIZON | PIP | $1,962.91 | ↑ +234% |
| QUALCARE | PPO | $2,001.55 | ↑ +241% |
| QUALCARE | HMO | $2,001.55 | ↑ +241% |
| AETNA | ASA | $2,017.01 | ↑ +243% |
| HORIZON | OMNIA | $2,043.80 | ↑ +248% |
| CIGNA | BH | $2,060.80 | ↑ +251% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,189.60 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,189.60 | ↑ +273% |
| QUALCARE | WORKERS COMP | $2,266.88 | ↑ +286% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,318.40 | ↑ +295% |
| CIGNA | HMO | $2,463.43 | ↑ +319% |
| CIGNA | PPO | $2,463.43 | ↑ +319% |
| HORIZON | SHP | $2,500.52 | ↑ +326% |
| HORIZON | HMO | $2,513.66 | ↑ +328% |
| HORIZON | INDEMNITY | $2,541.22 | ↑ +333% |
| HORIZON | PPO | $2,576.00 | ↑ +339% |
| OXFORD | ALL PRODUCTS | $5,543.00 | ↑ +844% |
| UNITED HEALTHCARE | HMO | $8,187.00 | ↑ +1294% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Sleep study attended at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $542.26 | $214.42 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $603.91 | $595.29 – $1,190.58 |
| Community Medical Center | Toms River | $599.17 | $579.88 – $1,153.96 |
| Newark Beth Israel Medical Center | Newark | $593.65 | $220.73 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $600.33 | $277.49 – $1,243.49 |
| Monmouth Medical Center | Long Branch | $632.11 | $587.30 – $1,168.73 |
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $5,634.00 |
| Hackensack University Medical Center | Hackensack | $624.87 | $499.89 – $8,372.00 |