Fundus photography with i&r 92250 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$140.87
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.
$52.92 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $52.92 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $54.39 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $60.27 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $62.28 | ↓ -56% |
| AMERIHEALTH | LOCAL HMO | $83.03 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $84.46 | ↓ -40% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $140.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $140.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $147.92 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $153.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $173.17 | ↑ +23% |
| HORIZON | MANAGED MEDICAID | $186.34 | ↑ +32% |
| HORIZON | PIP | $191.39 | ↑ +36% |
| HORIZON | WORKERS COMP | $197.54 | ↑ +40% |
| OXFORD | ALL PRODUCTS | $209.00 | ↑ +48% |
| HORIZON | OMNIA | $212.30 | ↑ +51% |
| BERGEN RISK | ALL PRODUCTS | $220.50 | ↑ +57% |
| UNITED HEALTHCARE | HMO | $228.38 | ↑ +62% |
| AETNA | ASA | $230.20 | ↑ +63% |
| CIGNA | BH | $235.20 | ↑ +67% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $249.90 | ↑ +77% |
| HORIZON | SHP | $252.37 | ↑ +79% |
| HORIZON | INDEMNITY | $261.66 | ↑ +86% |
| HORIZON | HMO | $261.84 | ↑ +86% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $264.60 | ↑ +88% |
| AETNA | HMO | $264.66 | ↑ +88% |
| AETNA | PPO | $264.66 | ↑ +88% |
| QUALCARE | PPO | $266.95 | ↑ +90% |
| QUALCARE | HMO | $266.95 | ↑ +90% |
| QUALCARE | WORKERS COMP | $266.95 | ↑ +90% |
| HORIZON | PPO | $268.77 | ↑ +91% |
| CIGNA | PPO | $281.15 | ↑ +100% |
| CIGNA | HMO | $281.15 | ↑ +100% |
| 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 |
| 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 |