Aqua therapy w/exercise/ea 15 min 97113 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$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.
$263.00
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.
$12.61 with HORIZON vs $725.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $12.61 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $44.97 | ↓ -4% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $45.76 | ↓ -3% |
| AMERIGROUP | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $46.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $46.97 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $46.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $46.97 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $46.97 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $47.34 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $49.32 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $51.20 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $63.57 | ↑ +35% |
| HORIZON | OMNIA | $179.94 | ↑ +283% |
| HORIZON | WORKERS COMP | $181.10 | ↑ +286% |
| AETNA | PPO | $194.96 | ↑ +315% |
| AETNA | HMO | $194.96 | ↑ +315% |
| HORIZON | PIP | $197.25 | ↑ +320% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $210.40 | ↑ +348% |
| HORIZON | SHP | $215.90 | ↑ +360% |
| AMERIHEALTH | LOCAL HMO | $220.21 | ↑ +369% |
| HORIZON | HMO | $222.39 | ↑ +373% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $223.55 | ↑ +376% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +377% |
| HORIZON | INDEMNITY | $224.13 | ↑ +377% |
| HORIZON | PPO | $228.02 | ↑ +385% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $236.70 | ↑ +404% |
| QUALCARE | HMO | $243.54 | ↑ +419% |
| QUALCARE | WORKERS COMP | $243.54 | ↑ +419% |
| QUALCARE | PPO | $243.54 | ↑ +419% |
| AMERIHEALTH | REGIONAL HMO | $245.77 | ↑ +423% |
| CIGNA | PPO | $251.51 | ↑ +435% |
| CIGNA | HMO | $251.51 | ↑ +435% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +520% |
| OXFORD | ALL PRODUCTS | $558.00 | ↑ +1088% |
| UNITED HEALTHCARE | HMO | $725.00 | ↑ +1444% |
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 |
| Hackensack University Medical Center | Hackensack | $46.97 | $37.58 – $406.00 |
| 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 |
| 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 |