Sleep study unattended at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$173.33
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.
$1,925.00
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.
$166.38 with KARNA vs $5,200.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $166.38 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $182.00 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $185.46 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $188.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $208.00 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $256.03 | ↑ +48% |
| CLOVER | MEDICARE ADVANTAGE | $346.50 | ↑ +100% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $398.48 | ↑ +130% |
| HORIZON | MANAGED MEDICAID | $1,069.00 | ↑ +517% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,133.83 | ↑ +554% |
| QUALCARE | WORKERS COMP | $1,280.13 | ↑ +639% |
| BERGEN RISK | ALL PRODUCTS | $1,443.75 | ↑ +733% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,443.75 | ↑ +733% |
| AETNA | HMO | $1,459.54 | ↑ +742% |
| AETNA | PPO | $1,459.54 | ↑ +742% |
| HORIZON | OMNIA | $1,470.70 | ↑ +748% |
| HORIZON | PIP | $1,489.95 | ↑ +760% |
| HORIZON | WORKERS COMP | $1,500.35 | ↑ +766% |
| AETNA | ASA | $1,507.28 | ↑ +770% |
| CIGNA | BH | $1,540.00 | ↑ +788% |
| HORIZON | INDEMNITY | $1,617.58 | ↑ +833% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,636.25 | ↑ +844% |
| AMERIHEALTH | LOCAL HMO | $1,666.09 | ↑ +861% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,732.50 | ↑ +900% |
| QUALCARE | PPO | $1,747.90 | ↑ +908% |
| QUALCARE | HMO | $1,747.90 | ↑ +908% |
| HORIZON | SHP | $1,796.03 | ↑ +936% |
| HORIZON | HMO | $1,813.35 | ↑ +946% |
| OXFORD | ALL PRODUCTS | $1,818.00 | ↑ +949% |
| CIGNA | PPO | $1,840.88 | ↑ +962% |
| CIGNA | HMO | $1,840.88 | ↑ +962% |
| HORIZON | PPO | $1,859.55 | ↑ +973% |
| AMERIHEALTH | REGIONAL HMO | $1,872.83 | ↑ +980% |
| UNITED HEALTHCARE | HMO | $5,200.00 | ↑ +2900% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sleep study unattended at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $524.24 | $48.68 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $647.56 | $175.54 – $351.08 |
| Community Medical Center | Toms River | $579.26 | $170.99 – $340.27 |
| Clara Maass Medical Center | Belleville | $451.30 | $175.54 – $349.32 |
| Newark Beth Israel Medical Center | Newark | $636.56 | $50.12 – $351.08 |
| Jersey City Medical Center | Jersey City | $580.38 | $63.00 – $366.68 |
| Monmouth Medical Center | Long Branch | $611.10 | $173.18 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $0.01 – $5,634.00 |