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Therapy Procedure Using Functional Activities Cost in New Jersey
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 54 New Jersey hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $150
📉 Low $24.40
📈 High $620
🏥 54 hospitals
🏛️ 42 with insurance contracts
🇺🇸 Medicare $38.38
Hospital comparison — New Jersey
Sorted by cash price (lowest first). Showing top 54 of 54 hospitals.
Billed more than $150 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Centene | Humana | MultiPlan | Medicare | BCBS |
|---|---|---|---|---|---|---|---|---|---|
| VIRTUA VOORHEES HOSPITAL (WEST JERSEY) VOORHEES |
$24.40 | $10.32 | $10.32 | $98.18 | $10.32 | $166 | $70.00 | — | — |
| VIRTUA WILLINGBORO HOSPITAL WILLINGBORO |
$24.40 | $10.32 | $10.32 | $98.18 | $10.32 | $166 | $70.00 | — | — |
| VIRTUA MARLTON HOSPITAL MARLTON |
$24.40 | $10.32 | $10.32 | $98.18 | $10.32 | $166 | $70.00 | — | — |
| VIRTUA OUR LADY OF LOURDES HOSPITAL CAMDEN |
$24.40 | $10.32 | $10.32 | $98.18 | $10.32 | $166 | $70.00 | — | — |
| VIRTUA MOUNT HOLLY HOSPITAL (BURLINGTON COUNTY) MOUNT HOLLY |
$24.40 | $10.32 | $10.32 | $98.18 | $10.32 | $166 | $70.00 | — | — |
| ST. MARY'S GENERAL HOSPITAL PASSAIC |
$39.00 | $39.23 | $39.23 | $158 | $39.23 | $31.38 | — | $39.23 | — |
| SAINT MICHAELS MEDICAL CENTER NEWARK |
$39.00 | $39.23 | $39.23 | $158 | $40.41 | $39.23 | — | $39.23 | — |
| SAINT CLARE'S BEHAVIORAL HEALTH BOONTON BOONTON TOWNSHIP |
$39.00 | $39.23 | $39.23 | $158 | $39.23 | $31.38 | — | $39.23 | — |
| NEWTON MEDICAL CENTER NEWTON |
$42.96 | — | — | — | — | — | — | — | — |
| GORYEB CHILDRENS CENTER MORRISTOWN |
$42.96 | — | — | — | — | — | — | — | — |
| HACKETTSTOWN MEDICAL CENTER HACKETTSTOWN |
$42.96 | — | — | — | — | — | — | — | — |
| CENTRASTATE MEDICAL CENTER FREEHOLD TOWNSHIP |
$42.96 | — | — | — | — | — | — | — | — |
| OVERLOOK MEDICAL CENTER SUMMIT |
$42.96 | — | — | — | — | — | — | — | — |
| CHILTON MEDICAL CENTER POMPTON PLAINS |
$42.96 | — | — | — | — | — | — | — | — |
| JEFFERSON STRATFORD HOSPITAL STRATFORD |
$43.16 | $49.61 | — | — | — | — | — | — | — |
| JEFFERSON CHERRY HILL HOSPITAL CHERRY HILL |
$43.16 | $49.61 | — | — | — | — | — | — | — |
| JEFFERSON WASHINGTON TOWNSHIP HOSPITAL TURNERSVILLE |
$43.16 | $49.61 | — | — | — | — | — | — | — |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER MONTCLAIR |
$52.53 | — | — | — | — | — | — | — | — |
| HACKENSACK MERIDIAN PASCACK VALLEY MEDICAL CENTER WESTWOOD |
$52.53 | — | — | — | — | — | — | — | — |
| SAINT BARNABAS BEHAVIORAL HEALTH CENTER TOMS RIVER |
$76.26 | — | — | — | — | — | — | — | — |
| CHILDRENS SPECIALIZED HOSPITAL LONG TERM CARE CENTER - MOUNTAINSIDE MOUNTAINSIDE |
$76.50 | $117 | $120 | $92.15 | $117 | — | — | — | — |
| CAREWELL HEALTH MEDICAL CENTER EAST ORANGE |
$138 | $31.31 | $27.23 | — | $27.23 | — | — | — | — |
| SAINT JOSEPHS UNIVERSITY MEDICAL CENTER PATERSON |
$139 | $30.07 | $29.42 | $139 | $29.42 | — | $58.85 | — | — |
| INSPIRA HEALTH CENTER WOODBURY OAK ST. WOODBURY |
$150 | $20.61 | $22.45 | $61.48 | $28.78 | — | — | — | — |
| INSPIRA MEDICAL CENTER ELMER FRONT ST. ELMER |
$150 | $20.61 | $17.75 | $61.48 | $30.42 | — | — | — | $45.05 |
| INSPIRA MEDICAL CENTER VINELAND W. SHERMAN AVE. VINELAND |
$150 | $28.78 | $25.90 | $61.48 | $28.78 | $39.41 | — | $37.53 | $45.05 |
| INSPIRA MEDICAL CENTER MANNINGTON SALEM WOODSTOWN RD. SALEM |
$150 | $20.61 | $14.31 | $61.48 | $30.42 | — | — | — | $45.05 |
| INSPIRA HEALTH CENTER BRIDGETON IRVING AVE. BRIDGETON |
$150 | $20.61 | $22.45 | $61.48 | $28.78 | — | — | — | — |
| INSPIRA MEDICAL CENTER MULLICA HILL MULLICA HILL RD. MULLICA HILL |
$150 | $30.42 | $27.38 | $61.48 | $30.42 | $39.41 | — | $37.53 | $45.05 |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER TRENTON |
$165 | $8.91 | $6.60 | $124 | $37.36 | $38.29 | $140 | $38.48 | — |
| CAPITAL HEALTH AT DEBORAH - EMERGENCY SERVICES PENNINGTON |
$165 | $8.91 | $6.60 | $124 | $59.78 | $38.29 | $140 | $38.48 | — |
| SPECIALTY HOSPITAL OF CENTRAL JERSEY 4 WEST |
$200 | — | — | — | — | — | — | — | — |
| THE UNIVERSITY HOSPITAL NEWARK |
$215 | $63.19 | $63.19 | — | $63.19 | — | $172 | — | — |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET SOMERVILLE |
$221 | $269 | $164 | $98.00 | — | — | — | — | — |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY RAHWAY |
$221 | — | $170 | $98.00 | — | — | — | — | — |
| HSS PARAMUS OUTPATIENT CENTER PARAMUS |
$221 | — | — | — | — | — | — | — | — |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON HAMILTON |
$221 | $178 | $170 | $98.00 | — | — | — | — | — |
| CLARA MAASS MEDICAL CENTER BELLEVILLE |
$221 | $183 | $170 | $98.00 | — | — | — | — | — |
| HSS PARAMUS MIDLAND OUTPATIENT CENTER PARAMUS |
$221 | $184 | $3.20 | $185 | $5.34 | — | — | $5.58 | $2.37 |
| THE COOPER UNIVERSITY HOSPITAL CAMDEN |
$248 | $40.54 | $18.69 | $37.92 | $41.29 | $38.29 | — | — | — |
| DEBORAH HEART AND LUNG CENTER BROWNS MILLS |
$258 | $43.55 | $39.23 | $644 | — | $39.23 | — | — | — |
| TRINITAS REGIONAL MEDICAL CENTER ELIZABETH |
$270 | — | $170 | $125 | — | — | — | — | — |
| COMMUNITY MEDICAL CENTER TOMS RIVER |
$270 | $178 | $170 | $98.00 | — | — | — | — | — |
| MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS LAKEWOOD |
$270 | $183 | $170 | $98.00 | — | — | — | — | — |
| JERSEY CITY MEDICAL CENTER JERSEY CITY |
$270 | $178 | $170 | $98.00 | — | — | — | — | — |
| MONMOUTH MEDICAL CENTER LONG BRANCH |
$270 | $183 | $170 | $98.00 | — | — | — | — | — |
| CHILDRENS HOSPITAL OF NEW JERSEY - NEWARK NEWARK |
$275 | $183 | $170 | $98.00 | — | — | — | — | — |
| BRISTOL MYERS SQUIBB CHILDRENS HOSPITAL NEW BRUNSWICK |
$275 | $187 | $170 | $125 | — | — | — | — | — |
| COOPERMAN BARNABAS MEDICAL CENTER LIVINGSTON |
$275 | $183 | $170 | $125 | — | — | — | — | — |
| COOPER UNIVERSITY HOSPITAL CAPE REGIONAL CAPE MAY COURT HOUSE |
$292 | $37.54 | $11.91 | $37.54 | $41.29 | $38.29 | — | — | — |
| MEMORIAL SLOAN KETTERING BASKING RIDGE BASKING RIDGE |
$351 | $130 | $581 | — | — | — | $316 | — | — |
| MEMORIAL SLOAN KETTERING MONMOUTH MIDDLETOWN |
$351 | $130 | $581 | — | — | — | $316 | — | — |
| SILVER LAKE HOSPITAL NEWARK |
$570 | — | — | — | — | — | — | — | — |
| SAINT PETERS UNIVERSITY HOSPITAL EASTON AVE NEW BRUNSWICK |
$620 | $62.00 | $155 | $160 | — | — | — | $43.71 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $150 for this?
That is the median of what the 54 New Jersey hospitals above publish for Therapy procedure using functional activities — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97530 in New Jersey, Medicare reimburses about $38.38 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Jersey range from $24.40 to $620 — that means hospital cash prices are typically 3.9x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does therapy procedure using functional activities cost in New Jersey?
- Cash prices for therapy procedure using functional activities (CPT 97530) in New Jersey range from $24.40 to $620, with a median of $150. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in New Jersey?
- The cheapest New Jersey hospital published cash price for this procedure is $24.40. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Therapy procedure using functional activities in nearby states
Other procedures in New Jersey
Methodology. Cash prices and insurance-negotiated rates published by each New Jersey facility under federal price transparency rules (45 CFR § 180). CPT code 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.