Polysom <6 yrs cpap/bilvl at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$1,647.17
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.
$985.60 with United Healthcare vs $7,266.13 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $985.60 | ↓ -40% |
| Fidelis Care | NJ Family Care | $1,003.86 | ↓ -39% |
| Aetna | Better Health | $1,078.52 | ↓ -35% |
| Aetna | Medicare | $1,111.89 | ↓ -32% |
| Clover Health | Medicare Advantage | $1,111.89 | ↓ -32% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,111.89 | ↓ -32% |
| Fidelis Care | Medicare Advantage | $1,111.89 | ↓ -32% |
| Wellpoint | Medicare Advantage | $1,111.89 | ↓ -32% |
| Humana | Medicare | $1,111.89 | ↓ -32% |
| United Healthcare | Medicare | $1,134.13 | ↓ -31% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,672.00 | ↑ +2% |
| Emblem Health | Commercial | $1,945.81 | ↑ +18% |
| Wellcare | Ambetter Health Commercial | $2,212.66 | ↑ +34% |
| Amerihealth | Local Value | $3,833.00 | ↑ +133% |
| United Healthcare | Nexus | $3,964.00 | ↑ +141% |
| United Healthcare | Oxford Metro | $3,964.00 | ↑ +141% |
| Amerihealth | Regional Preferred | $4,310.00 | ↑ +162% |
| Aetna | HMO | $4,368.10 | ↑ +165% |
| Aetna | PPO | $4,368.10 | ↑ +165% |
| Wellpoint | NJ Family Care | $4,526.94 | ↑ +175% |
| United Healthcare | Oxford Commercial | $4,663.00 | ↑ +183% |
| United Healthcare | Commercial | $4,663.00 | ↑ +183% |
| Cigna | Local Plus | $4,717.54 | ↑ +186% |
| First Health | Commercial | $4,765.20 | ↑ +189% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5,158.32 | ↑ +213% |
| Qualcare Inc | HMO/POS | $5,297.31 | ↑ +222% |
| Qualcare Inc | PPO/WC | $5,646.76 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,956.50 | ↑ +262% |
| Cigna | HMO | $5,994.62 | ↑ +264% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $6,253.53 | ↑ +280% |
| Cigna | PPO | $6,313.89 | ↑ +283% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $6,355.98 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,750.70 | ↑ +310% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $7,266.13 | ↑ +341% |
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 |
| 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 |
| Hackensack University Medical Center | Hackensack | $1,198.14 | $958.51 – $8,372.00 |