Polysom <6 yrs cpap/bilvl at Newark Beth Israel Medical Center
201 Lyons Ave, Newark, NJ · RWJBarnabas Health · · NPI 1215027966
$1,654.31
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.
$7,942.00
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.
$1,141.43 with Clover Health vs $7,412.26 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| Clover Health | Medicare Advantage | $1,141.43 | ↓ -31% |
| Humana | Medicare | $1,141.43 | ↓ -31% |
| Aetna | Medicare | $1,141.43 | ↓ -31% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,141.43 | ↓ -31% |
| Fidelis Care | Medicare Advantage | $1,141.43 | ↓ -31% |
| Wellpoint | Medicare Advantage | $1,141.43 | ↓ -31% |
| United Healthcare | Medicare | $1,164.26 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,639.00 | ↓ -1% |
| United Healthcare | Community Plan | $1,803.62 | ↑ +9% |
| Aetna | Better Health | $1,975.96 | ↑ +19% |
| Fidelis Care | NJ Family Care | $2,061.74 | ↑ +25% |
| Wellcare | Ambetter Health Commercial | $2,271.45 | ↑ +37% |
| Emblem Health | Commercial | $2,282.86 | ↑ +38% |
| Amerihealth | Local Value | $3,181.00 | ↑ +92% |
| Amerihealth | Regional Preferred | $3,880.00 | ↑ +135% |
| United Healthcare | Nexus | $3,964.00 | ↑ +140% |
| United Healthcare | Oxford Metro | $3,964.00 | ↑ +140% |
| Aetna | HMO | $3,971.00 | ↑ +140% |
| Aetna | PPO | $3,971.00 | ↑ +140% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,139.37 | ↑ +150% |
| Wellpoint | NJ Family Care | $4,526.94 | ↑ +174% |
| Cigna | Local Plus | $4,579.35 | ↑ +177% |
| United Healthcare | Oxford Commercial | $4,663.00 | ↑ +182% |
| United Healthcare | Commercial | $4,663.00 | ↑ +182% |
| First Health | Commercial | $4,765.20 | ↑ +188% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,155.15 | ↑ +212% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,489.51 | ↑ +232% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,541.13 | ↑ +235% |
| Cigna | HMO | $5,819.10 | ↑ +252% |
| Qualcare Inc | HMO/POS | $6,099.45 | ↑ +269% |
| Cigna | PPO | $6,128.84 | ↑ +270% |
| Qualcare Inc | PPO/WC | $6,504.49 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,750.70 | ↑ +308% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $7,412.26 | ↑ +348% |
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 |
| 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 |
| Hackensack University Medical Center | Hackensack | $1,198.14 | $958.51 – $8,372.00 |