Angioplasty/iliac/init ves/unilat 37220 at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,986.00
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.
$12,049.00
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.
$1,535.04 with United Healthcare vs $12,729.33 with Wellcare — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,535.04 | ↓ -61% |
| Fidelis Care | NJ Family Care | $1,563.96 | ↓ -61% |
| Aetna | Better Health | $1,680.83 | ↓ -58% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $2,321.85 | ↓ -42% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +4% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $5,069.01 | ↑ +27% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $6,296.80 | ↑ +58% |
| Cigna | Local Plus | $6,341.38 | ↑ +59% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $6,396.65 | ↑ +60% |
| Aetna | Medicare | $6,396.65 | ↑ +60% |
| Clover Health | Medicare Advantage | $6,396.65 | ↑ +60% |
| Humana | Medicare | $6,396.65 | ↑ +60% |
| Wellpoint | Medicare Advantage | $6,396.65 | ↑ +60% |
| Fidelis Care | Medicare Advantage | $6,396.65 | ↑ +60% |
| United Healthcare | Oxford Metro | $6,418.00 | ↑ +61% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $6,452.23 | ↑ +62% |
| United Healthcare | Medicare | $6,524.58 | ↑ +64% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $6,653.45 | ↑ +67% |
| Aetna | HMO | $6,871.00 | ↑ +72% |
| Aetna | PPO | $6,871.00 | ↑ +72% |
| First Health | Commercial | $7,229.40 | ↑ +81% |
| United Healthcare | Nexus | $7,534.00 | ↑ +89% |
| United Healthcare | Oxford Commercial | $7,551.00 | ↑ +89% |
| Amerihealth | Local Value | $7,801.72 | ↑ +96% |
| Cigna | HMO | $8,058.37 | ↑ +102% |
| Cigna | PPO | $8,487.31 | ↑ +113% |
| United Healthcare | Commercial | $8,864.00 | ↑ +122% |
| Amerihealth | Regional Preferred | $9,503.04 | ↑ +138% |
| Qualcare Inc | PPO/WC | $9,868.13 | ↑ +148% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $10,575.40 | ↑ +165% |
| Emblem Health | Commercial | $11,194.14 | ↑ +181% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $11,501.97 | ↑ +189% |
| Wellcare | Ambetter Health Commercial | $12,729.33 | ↑ +219% |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,283.24 – $12,462.16 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $2,350.16 – $12,793.30 |
| Community Medical Center | Toms River | $3,786.00 | $2,406.79 – $12,399.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,320.98 – $12,793.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,660.67 – $13,361.76 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $4,643.69 – $12,558.45 |
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $808.94 – $7,050.17 |