Fundus photography with i&r 92250 at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$142.80
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.
$322.00
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.
$51.84 with AETNA vs $2,437.00 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 | $51.84 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $55.35 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $57.96 | ↓ -59% |
| KARNA | MEDICARE ADVANTAGE | $65.06 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $69.23 | ↓ -52% |
| AMERIGROUP | MEDICARE ADVANTAGE | $70.20 | ↓ -51% |
| AMERIHEALTH | REGIONAL HMO | $74.24 | ↓ -48% |
| AMERIHEALTH | LOCAL HMO | $82.19 | ↓ -42% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -27% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -10% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -5% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $161.00 | ↑ +13% |
| HORIZON | HMO | $181.00 | ↑ +27% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +32% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $193.20 | ↑ +35% |
| HORIZON | PIP | $196.10 | ↑ +37% |
| HORIZON | INDEMNITY | $196.10 | ↑ +37% |
| HORIZON | OMNIA | $196.10 | ↑ +37% |
| HORIZON | PPO | $196.10 | ↑ +37% |
| HORIZON | SHP | $196.10 | ↑ +37% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $209.30 | ↑ +47% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $225.40 | ↑ +58% |
| INTERGROUP | SHARED SAVINGS | $225.40 | ↑ +58% |
| INTERGROUP | WORKERS COMP | $225.40 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $241.50 | ↑ +69% |
| PRIME HEALTH | WORKERS COMP | $257.60 | ↑ +80% |
| PRIME HEALTH | AUTO INSURANCE | $257.60 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $273.70 | ↑ +92% |
| AETNA | ASA | $288.74 | ↑ +102% |
| AETNA | PPO | $288.74 | ↑ +102% |
| AETNA | HMO | $288.74 | ↑ +102% |
| QUALCARE | PPO | $298.17 | ↑ +109% |
| QUALCARE | WORKERS COMP | $298.17 | ↑ +109% |
| QUALCARE | HMO | $298.17 | ↑ +109% |
| CIGNA | PPO | $309.96 | ↑ +117% |
| CIGNA | HMO | $309.96 | ↑ +117% |
| HORIZON | MANAGED MEDICAID | $1,124.00 | ↑ +687% |
| OXFORD | ALL PRODUCTS | $2,045.00 | ↑ +1332% |
| UNITED HEALTHCARE | HMO | $2,437.00 | ↑ +1607% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fundus photography with i&r 92250 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $78.75 | $24.67 – $302.08 |
| Bayshore Medical Center | Holmdel | $142.67 | $83.03 – $171.21 |
| Hackensack University Medical Center | Hackensack | $151.80 | $65.06 – $4,994.00 |
| Ocean University Medical Center | Brick | $140.87 | $62.28 – $2,080.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $62.28 – $171.21 |
| Palisades Medical Center | North Bergen | $151.80 | $65.06 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $65.06 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $62.28 – $171.21 |