Sleep Study (Polysomnography) at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$1,126.11
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.
$9,011.00
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.
$1,064.61 with KARNA vs $9,155.00 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 | $1,064.61 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,126.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,126.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,126.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,182.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,227.46 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $1,270.55 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $1,351.33 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $1,621.98 | ↑ +44% |
| HORIZON | MANAGED MEDICAID | $1,781.00 | ↑ +58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,955.39 | ↑ +74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,307.48 | ↑ +371% |
| HORIZON | OMNIA | $5,747.22 | ↑ +410% |
| AMERIHEALTH | LOCAL HMO | $5,820.20 | ↑ +417% |
| OXFORD | ALL PRODUCTS | $5,942.00 | ↑ +428% |
| HORIZON | WORKERS COMP | $6,343.74 | ↑ +463% |
| AMERIHEALTH | REGIONAL HMO | $6,479.81 | ↑ +475% |
| BERGEN RISK | ALL PRODUCTS | $6,758.25 | ↑ +500% |
| AETNA | PPO | $6,832.14 | ↑ +507% |
| AETNA | HMO | $6,832.14 | ↑ +507% |
| HORIZON | SHP | $6,933.96 | ↑ +516% |
| QUALCARE | HMO | $7,001.55 | ↑ +522% |
| QUALCARE | PPO | $7,001.55 | ↑ +522% |
| AETNA | ASA | $7,055.61 | ↑ +527% |
| HORIZON | HMO | $7,108.78 | ↑ +531% |
| HORIZON | PIP | $7,109.68 | ↑ +531% |
| CIGNA | BH | $7,208.80 | ↑ +540% |
| HORIZON | INDEMNITY | $7,211.50 | ↑ +540% |
| HORIZON | PPO | $7,274.58 | ↑ +546% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,659.35 | ↑ +580% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,659.35 | ↑ +580% |
| QUALCARE | WORKERS COMP | $7,929.68 | ↑ +604% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,109.90 | ↑ +620% |
| CIGNA | HMO | $8,617.22 | ↑ +665% |
| CIGNA | PPO | $8,617.22 | ↑ +665% |
| UNITED HEALTHCARE | HMO | $9,155.00 | ↑ +713% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sleep Study (Polysomnography) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,460.86 | $325.79 – $2,223.78 |
| Cooperman Barnabas Medical Center | Livingston | $1,649.21 | $1,141.43 – $2,282.86 |
| Community Medical Center | Toms River | $1,614.19 | $1,111.89 – $2,212.66 |
| Clara Maass Medical Center | Belleville | $1,548.03 | $1,141.43 – $2,271.45 |
| Newark Beth Israel Medical Center | Newark | $1,621.19 | $335.37 – $2,282.86 |
| Jersey City Medical Center | Jersey City | $1,617.30 | $421.61 – $2,384.30 |
| Monmouth Medical Center | Long Branch | $1,702.92 | $1,126.11 – $2,240.96 |
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $5,634.00 |