Fundus photography with i&r 92250 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$151.80
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$57.96 with CLOVER vs $4,994.00 with OXFORD — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $57.96 | ↓ -62% |
| KARNA | MEDICARE ADVANTAGE | $65.06 | ↓ -57% |
| AETNA | MANAGED MEDICAID | $80.82 | ↓ -47% |
| AMERIHEALTH | REGIONAL HMO | $83.24 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $83.24 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $92.09 | ↓ -39% |
| OPTUM HEALTH | MANAGED MEDICAID | $121.44 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $147.72 | ↓ -3% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $151.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $151.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $151.80 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $159.39 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $159.39 | ↑ +5% |
| HORIZON | OMNIA | $210.88 | ↑ +39% |
| HORIZON | WORKERS COMP | $221.73 | ↑ +46% |
| INTERGROUP | ALL PRODUCTS | $225.40 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $241.50 | ↑ +59% |
| HORIZON | PIP | $241.50 | ↑ +59% |
| LHP HEALTH | ALL PRODUCTS | $254.38 | ↑ +68% |
| CIGNA | BH | $257.60 | ↑ +70% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $273.70 | ↑ +80% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $273.70 | ↑ +80% |
| CHN | ALL PRODUCTS | $273.70 | ↑ +80% |
| QUALCARE | WORKERS COMP | $284.00 | ↑ +87% |
| QUALCARE | HMO | $284.00 | ↑ +87% |
| QUALCARE | PPO | $284.00 | ↑ +87% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $289.80 | ↑ +91% |
| AETNA | ASA | $306.54 | ↑ +102% |
| AETNA | PPO | $306.54 | ↑ +102% |
| AETNA | HMO | $306.54 | ↑ +102% |
| HORIZON | HMO | $306.67 | ↑ +102% |
| HORIZON | INDEMNITY | $308.25 | ↑ +103% |
| HORIZON | SHP | $310.21 | ↑ +104% |
| CIGNA | PPO | $311.54 | ↑ +105% |
| CIGNA | HMO | $311.54 | ↑ +105% |
| HORIZON | FEDERAL | $314.01 | ↑ +107% |
| HORIZON | PPO | $314.01 | ↑ +107% |
| UNITED HEALTHCARE | HMO | $4,925.00 | ↑ +3144% |
| OXFORD | ALL PRODUCTS | $4,994.00 | ↑ +3190% |
| 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 |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $83.03 – $171.21 |
| Ocean University Medical Center | Brick | $140.87 | $62.28 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $65.06 – $2,437.00 |
| 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 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $62.28 – $169.05 |