Fundus photography with i&r 92250 at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$142.67
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.
$294.00
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.
$48.22 with AETNA vs $281.15 with CIGNA — 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 | $48.22 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $52.92 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $54.98 | ↓ -61% |
| AMERIHEALTH | LOCAL HMO | $83.03 | ↓ -42% |
| AMERIHEALTH | REGIONAL HMO | $84.46 | ↓ -41% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $173.17 | ↑ +21% |
| UNITED HEALTHCARE | HMO | $174.64 | ↑ +22% |
| HORIZON | MANAGED MEDICAID | $179.02 | ↑ +25% |
| OXFORD | ALL PRODUCTS | $185.04 | ↑ +30% |
| HORIZON | PIP | $189.63 | ↑ +33% |
| HORIZON | WORKERS COMP | $189.63 | ↑ +33% |
| HORIZON | OMNIA | $200.77 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $220.50 | ↑ +55% |
| QUALCARE | PPO | $228.44 | ↑ +60% |
| QUALCARE | HMO | $228.44 | ↑ +60% |
| AETNA | ASA | $230.20 | ↑ +61% |
| CIGNA | BH | $235.20 | ↑ +65% |
| HORIZON | SHP | $245.52 | ↑ +72% |
| HORIZON | HMO | $247.93 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $249.90 | ↑ +75% |
| HORIZON | INDEMNITY | $251.49 | ↑ +76% |
| HORIZON | PPO | $253.78 | ↑ +78% |
| QUALCARE | WORKERS COMP | $258.72 | ↑ +81% |
| AETNA | HMO | $264.60 | ↑ +85% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $264.60 | ↑ +85% |
| AETNA | PPO | $264.60 | ↑ +85% |
| CIGNA | PPO | $281.15 | ↑ +97% |
| CIGNA | HMO | $281.15 | ↑ +97% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | 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 |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $151.80 | $65.06 – $4,994.00 |
| 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 |