Administration vaccine pneumococcal at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$34.60
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.
$174.00
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.
$22.07 with Horizon Blue Cross Blue Shield of New Jersey vs $166.10 with Horizon Blue Cross Blue Shield of New Jersey — 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 Blue Cross Blue Shield of New Jersey | NJ Health | $22.07 | ↓ -36% |
| United Healthcare | Community Plan | $22.16 | ↓ -36% |
| Fidelis Care | NJ Family Care | $22.58 | ↓ -35% |
| Aetna | Better Health | $24.27 | ↓ -30% |
| United Healthcare | Oxford Metro | $41.00 | ↑ +18% |
| United Healthcare | Nexus | $41.00 | ↑ +18% |
| United Healthcare | Oxford Commercial | $48.00 | ↑ +39% |
| United Healthcare | Commercial | $48.00 | ↑ +39% |
| Wellpoint | Medicare Advantage | $51.77 | ↑ +50% |
| Humana | Medicare | $51.77 | ↑ +50% |
| Aetna | Medicare | $51.77 | ↑ +50% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $51.77 | ↑ +50% |
| Fidelis Care | Medicare Advantage | $51.77 | ↑ +50% |
| Clover Health | Medicare Advantage | $51.77 | ↑ +50% |
| United Healthcare | Medicare | $52.81 | ↑ +53% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $73.20 | ↑ +112% |
| Emblem Health | Commercial | $90.60 | ↑ +162% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $90.93 | ↑ +163% |
| Cigna | Local Plus | $91.57 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $93.17 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $96.08 | ↑ +178% |
| Wellpoint | NJ Family Care | $99.18 | ↑ +187% |
| Aetna | HMO | $102.66 | ↑ +197% |
| Aetna | PPO | $102.66 | ↑ +197% |
| Wellcare | Ambetter Health Commercial | $103.02 | ↑ +198% |
| First Health | Commercial | $104.40 | ↑ +202% |
| Cigna | HMO | $116.37 | ↑ +236% |
| Cigna | PPO | $122.56 | ↑ +254% |
| Qualcare Inc | HMO/POS | $133.63 | ↑ +286% |
| Qualcare Inc | PPO/WC | $142.50 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $152.71 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $166.10 | ↑ +380% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $34.72 | $35.13 – $100.86 |
| Cooperman Barnabas Medical Center | Livingston | $59.33 | $22.34 – $103.54 |
| Community Medical Center | Toms River | $38.36 | $22.88 – $100.36 |
| Newark Beth Israel Medical Center | Newark | $58.32 | $40.51 – $103.54 |
| Jersey City Medical Center | Jersey City | $38.44 | $24.23 – $108.14 |
| Monmouth Medical Center | Long Branch | $40.47 | $41.00 – $101.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $51.11 | $26.92 – $51.18 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $50.12 – $61.28 |