Ghs polysom <6 yrs 4/> parameters at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,127.09
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.
$7,572.00
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.
$1,007.08 with AETNA vs $9,104.00 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 | $1,007.08 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $1,127.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,127.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,127.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,127.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,183.44 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,205.98 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,228.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,352.50 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $1,362.96 | ↑ +21% |
| HORIZON | MANAGED MEDICAID | $1,532.05 | ↑ +36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,567.40 | ↑ +39% |
| KARNA | MEDICARE ADVANTAGE | $1,768.09 | ↑ +57% |
| OXFORD | ALL PRODUCTS | $1,818.00 | ↑ +61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $4,459.91 | ↑ +296% |
| QUALCARE | WORKERS COMP | $5,035.38 | ↑ +347% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,679.00 | ↑ +404% |
| BERGEN RISK | ALL PRODUCTS | $5,679.00 | ↑ +404% |
| AETNA | PPO | $5,741.09 | ↑ +409% |
| AETNA | HMO | $5,741.09 | ↑ +409% |
| HORIZON | OMNIA | $5,785.01 | ↑ +413% |
| HORIZON | PIP | $5,860.73 | ↑ +420% |
| HORIZON | WORKERS COMP | $5,901.62 | ↑ +424% |
| AETNA | ASA | $5,928.88 | ↑ +426% |
| CIGNA | BH | $6,057.60 | ↑ +437% |
| HORIZON | INDEMNITY | $6,362.75 | ↑ +465% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,436.20 | ↑ +471% |
| AMERIHEALTH | LOCAL HMO | $6,553.57 | ↑ +481% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,814.80 | ↑ +505% |
| QUALCARE | HMO | $6,875.38 | ↑ +510% |
| QUALCARE | PPO | $6,875.38 | ↑ +510% |
| HORIZON | SHP | $7,064.68 | ↑ +527% |
| HORIZON | HMO | $7,132.82 | ↑ +533% |
| CIGNA | PPO | $7,241.10 | ↑ +542% |
| CIGNA | HMO | $7,241.10 | ↑ +542% |
| HORIZON | PPO | $7,314.55 | ↑ +549% |
| AMERIHEALTH | REGIONAL HMO | $7,366.80 | ↑ +554% |
| UNITED HEALTHCARE | HMO | $9,104.00 | ↑ +708% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs polysom <6 yrs 4/> parameters at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 |
| Ocean University Medical Center | Brick | $1,111.89 | $104.00 – $5,667.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,127.09 | $104.00 – $4,254.00 |
| Jersey Shore University Medical Center | Neptune City | $1,126.11 | $1,126.11 – $5,543.00 |
| Palisades Medical Center | North Bergen | $1,198.14 | $1,198.14 – $11,023.00 |
| Riverview Medical Center | Red Bank | $1,126.11 | $1,126.11 – $5,942.00 |
| Southern Ocean Medical Center | Manahawkin | $1,111.89 | $889.00 – $1,675.31 |