Therapy nutrition individual initial f2f w/patient each 15 minutes at Hackensack University Medical Center
30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279
$40.94
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.
$147.00
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.
$26.46 with CLOVER vs $1,496.00 with OXFORD — 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 | $26.46 | ↓ -35% |
| OPTUM HEALTH | MANAGED MEDICAID | $32.75 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $36.90 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| VACCN | ALL PRODUCTS | $40.94 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $40.94 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $40.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $42.04 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $42.99 | ↑ +5% |
| KARNA | MEDICARE ADVANTAGE | $54.25 | ↑ +33% |
| HORIZON | MANAGED MEDICAID | $72.77 | ↑ +78% |
| HORIZON | OMNIA | $96.27 | ↑ +135% |
| HORIZON | WORKERS COMP | $101.22 | ↑ +147% |
| INTERGROUP | ALL PRODUCTS | $102.90 | ↑ +151% |
| BERGEN RISK | ALL PRODUCTS | $110.25 | ↑ +169% |
| HORIZON | PIP | $110.25 | ↑ +169% |
| LHP HEALTH | ALL PRODUCTS | $116.13 | ↑ +184% |
| CIGNA | BH | $117.60 | ↑ +187% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $124.95 | ↑ +205% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $124.95 | ↑ +205% |
| CHN | ALL PRODUCTS | $124.95 | ↑ +205% |
| QUALCARE | PPO | $129.65 | ↑ +217% |
| QUALCARE | HMO | $129.65 | ↑ +217% |
| QUALCARE | WORKERS COMP | $129.65 | ↑ +217% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $132.30 | ↑ +223% |
| AETNA | ASA | $139.94 | ↑ +242% |
| AETNA | PPO | $139.94 | ↑ +242% |
| AETNA | HMO | $139.94 | ↑ +242% |
| HORIZON | HMO | $140.00 | ↑ +242% |
| HORIZON | INDEMNITY | $140.72 | ↑ +244% |
| HORIZON | SHP | $141.62 | ↑ +246% |
| CIGNA | HMO | $142.22 | ↑ +247% |
| CIGNA | PPO | $142.22 | ↑ +247% |
| HORIZON | PPO | $143.35 | ↑ +250% |
| HORIZON | FEDERAL | $143.35 | ↑ +250% |
| AMERIHEALTH | LOCAL HMO | $450.00 | ↑ +999% |
| AMERIHEALTH | REGIONAL HMO | $534.00 | ↑ +1204% |
| UNITED HEALTHCARE | HMO | $1,035.00 | ↑ +2428% |
| OXFORD | ALL PRODUCTS | $1,496.00 | ↑ +3554% |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $39.22 | $26.01 – $197.00 |
| Cooperman Barnabas Medical Center | Livingston | $44.28 | $36.52 – $197.00 |
| Community Medical Center | Toms River | $43.34 | $37.40 – $197.00 |
| Clara Maass Medical Center | Belleville | $32.81 | $36.08 – $197.00 |
| Childrens Specialized Hospital | Mountainside | $62.50 | $31.05 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $43.53 | $26.78 – $66.22 |
| Jersey City Medical Center | Jersey City | $43.43 | $33.66 – $197.00 |
| Monmouth Medical Center | Long Branch | $45.72 | $72.16 – $197.00 |