Aqua therapy w/exercise/ea 15 min 97113 at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$46.97
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.
$243.00
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.
$37.58 with OPTUM HEALTH vs $493.91 with AETNA — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $37.58 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $43.74 | ↓ -7% |
| WELLCARE | MANAGED MEDICAID | $46.97 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.97 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $46.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $49.32 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $54.05 | ↑ +15% |
| AETNA | MANAGED MEDICAID | $60.99 | ↑ +30% |
| KARNA | MEDICARE ADVANTAGE | $63.57 | ↑ +35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $69.50 | ↑ +48% |
| HORIZON | OMNIA | $159.14 | ↑ +239% |
| HORIZON | WORKERS COMP | $167.33 | ↑ +256% |
| INTERGROUP | ALL PRODUCTS | $170.10 | ↑ +262% |
| HORIZON | PIP | $182.25 | ↑ +288% |
| LHP HEALTH | ALL PRODUCTS | $191.97 | ↑ +309% |
| CIGNA | BH | $194.40 | ↑ +314% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $206.55 | ↑ +340% |
| CHN | ALL PRODUCTS | $206.55 | ↑ +340% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $206.55 | ↑ +340% |
| QUALCARE | PPO | $214.33 | ↑ +356% |
| QUALCARE | WORKERS COMP | $214.33 | ↑ +356% |
| QUALCARE | HMO | $214.33 | ↑ +356% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $218.70 | ↑ +366% |
| HORIZON | HMO | $231.43 | ↑ +393% |
| HORIZON | INDEMNITY | $232.62 | ↑ +395% |
| HORIZON | SHP | $234.11 | ↑ +398% |
| HORIZON | FEDERAL | $236.97 | ↑ +405% |
| HORIZON | PPO | $236.97 | ↑ +405% |
| CIGNA | HMO | $238.00 | ↑ +407% |
| CIGNA | PPO | $238.00 | ↑ +407% |
| AMERIHEALTH | LOCAL HMO | $243.00 | ↑ +417% |
| AMERIHEALTH | REGIONAL HMO | $243.00 | ↑ +417% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +520% |
| OXFORD | ALL PRODUCTS | $346.00 | ↑ +637% |
| UNITED HEALTHCARE | HMO | $406.00 | ↑ +764% |
| AETNA | PPO | $493.91 | ↑ +952% |
| AETNA | HMO | $493.91 | ↑ +952% |
| AETNA | ASA | $493.91 | ↑ +952% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $46.97 | $46.97 – $447.00 |
| Ocean University Medical Center | Brick | $46.97 | $46.97 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $46.97 | $46.97 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $46.97 | $37.58 – $561.00 |
| Palisades Medical Center | North Bergen | $46.97 | $12.61 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $46.97 | $46.97 – $471.00 |
| Riverview Medical Center | Red Bank | $46.97 | $46.97 – $464.00 |
| Southern Ocean Medical Center | Manahawkin | $46.97 | $46.97 – $563.00 |