Polysom <6 yrs cpap/bilvl 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.
$9,523.00
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.
$1,127.09 with VACCN vs $9,264.93 with AMERIHEALTH — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $1,127.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,127.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,127.09 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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% |
| AETNA | MANAGED MEDICAID | $1,266.56 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $1,352.50 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,634.83 | ↑ +45% |
| CLOVER | MEDICARE ADVANTAGE | $1,714.14 | ↑ +52% |
| OXFORD | ALL PRODUCTS | $1,818.00 | ↑ +61% |
| KARNA | MEDICARE ADVANTAGE | $1,874.06 | ↑ +66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,971.26 | ↑ +75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,609.05 | ↑ +398% |
| QUALCARE | WORKERS COMP | $6,332.80 | ↑ +462% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,142.25 | ↑ +534% |
| BERGEN RISK | ALL PRODUCTS | $7,142.25 | ↑ +534% |
| AETNA | PPO | $7,220.34 | ↑ +541% |
| AETNA | HMO | $7,220.34 | ↑ +541% |
| HORIZON | OMNIA | $7,275.57 | ↑ +546% |
| HORIZON | PIP | $7,370.80 | ↑ +554% |
| HORIZON | WORKERS COMP | $7,422.23 | ↑ +559% |
| AETNA | ASA | $7,456.51 | ↑ +562% |
| CIGNA | BH | $7,618.40 | ↑ +576% |
| HORIZON | INDEMNITY | $8,002.18 | ↑ +610% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,094.55 | ↑ +618% |
| AMERIHEALTH | LOCAL HMO | $8,242.16 | ↑ +631% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,570.70 | ↑ +660% |
| QUALCARE | HMO | $8,646.88 | ↑ +667% |
| QUALCARE | PPO | $8,646.88 | ↑ +667% |
| HORIZON | SHP | $8,884.96 | ↑ +688% |
| HORIZON | HMO | $8,970.67 | ↑ +696% |
| UNITED HEALTHCARE | HMO | $9,104.00 | ↑ +708% |
| CIGNA | PPO | $9,106.84 | ↑ +708% |
| CIGNA | HMO | $9,106.84 | ↑ +708% |
| HORIZON | PPO | $9,199.22 | ↑ +716% |
| AMERIHEALTH | REGIONAL HMO | $9,264.93 | ↑ +722% |
| AMERIGROUP | MANAGED MEDICAID | 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 |