Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$60.21
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.
$206.00
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.
$37.08 with CLOVER vs $433.47 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $37.08 | ↓ -38% |
| OPTUM HEALTH | MANAGED MEDICAID | $48.17 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $51.71 | ↓ -14% |
| HORIZON | MANAGED MEDICAID | $54.05 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.92 | ↓ -2% |
| VACCN | ALL PRODUCTS | $60.21 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $60.21 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $60.21 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $60.21 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $60.21 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $60.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $60.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $60.21 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $63.22 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $83.35 | ↑ +38% |
| HORIZON | OMNIA | $134.91 | ↑ +124% |
| HORIZON | WORKERS COMP | $141.85 | ↑ +136% |
| INTERGROUP | ALL PRODUCTS | $144.20 | ↑ +139% |
| HORIZON | PIP | $154.50 | ↑ +157% |
| LHP HEALTH | ALL PRODUCTS | $162.74 | ↑ +170% |
| CIGNA | BH | $164.80 | ↑ +174% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $175.10 | ↑ +191% |
| CHN | ALL PRODUCTS | $175.10 | ↑ +191% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $175.10 | ↑ +191% |
| QUALCARE | PPO | $181.69 | ↑ +202% |
| QUALCARE | WORKERS COMP | $181.69 | ↑ +202% |
| QUALCARE | HMO | $181.69 | ↑ +202% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $185.40 | ↑ +208% |
| HORIZON | HMO | $196.19 | ↑ +226% |
| HORIZON | INDEMNITY | $197.20 | ↑ +228% |
| HORIZON | SHP | $198.46 | ↑ +230% |
| HORIZON | FEDERAL | $200.89 | ↑ +234% |
| HORIZON | PPO | $200.89 | ↑ +234% |
| AMERIHEALTH | LOCAL HMO | $206.00 | ↑ +242% |
| AMERIHEALTH | REGIONAL HMO | $206.00 | ↑ +242% |
| CIGNA | HMO | $238.00 | ↑ +295% |
| CIGNA | PPO | $238.00 | ↑ +295% |
| BERGEN RISK | ALL PRODUCTS | $325.00 | ↑ +440% |
| OXFORD | ALL PRODUCTS | $396.00 | ↑ +558% |
| UNITED HEALTHCARE | HMO | $406.00 | ↑ +574% |
| AETNA | PPO | $433.47 | ↑ +620% |
| AETNA | HMO | $433.47 | ↑ +620% |
| AETNA | ASA | $433.47 | ↑ +620% |
Visitor-reported prices
Comments
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $100.00 | $36.25 – $36.25 |
| Childrens Specialized Hospital | Mountainside | $68.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $60.21 | $60.21 – $749.00 |
| Ocean University Medical Center | Brick | $60.21 | $60.00 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $60.21 | $60.00 – $525.00 |
| Jersey Shore University Medical Center | Neptune City | $60.21 | $48.17 – $466.00 |
| Palisades Medical Center | North Bergen | $60.21 | $25.65 – $612.00 |
| Raritan Bay Medical Center | Perth Amboy | $60.21 | $60.21 – $325.00 |