Behavior counsel obesity 15min medicare g0447 at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.62 with Horizon Blue Cross Blue Shield of New Jersey vs $232.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $21.62 | — |
| Wellpoint | Medicare Advantage | $103.78 | — |
| Fidelis Care | Medicare Advantage | $103.78 | — |
| Humana | Medicare | $103.78 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $103.78 | — |
| Aetna | Medicare | $103.78 | — |
| Clover Health | Medicare Advantage | $103.78 | — |
| United Healthcare | Medicare | $105.86 | — |
| Emblem Health | Commercial | $181.62 | — |
| United Healthcare | Nexus | $197.00 | — |
| United Healthcare | Oxford Metro | $197.00 | — |
| Wellcare | Ambetter Health Commercial | $206.52 | — |
| United Healthcare | Commercial | $232.00 | — |
| United Healthcare | Oxford Commercial | $232.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Self Pay | Self Pay | not published by hospital | — |
| Fidelis Care | NJ Family Care | not published by hospital | — |
Visitor-reported prices
Comments
Behavior counsel obesity 15min medicare g0447 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $26.36 – $158.13 |
| Jersey Shore University Medical Center | Neptune City | $102.38 | $38.71 – $122.86 |
| Palisades Medical Center | North Bergen | $108.93 | $25.96 – $118.74 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $32.95 – $122.97 |
| Riverview Medical Center | Red Bank | $102.38 | $38.71 – $122.86 |
| Southern Ocean Medical Center | Manahawkin | $101.09 | $38.71 – $121.31 |
| Trinitas Regional Medical Center | Elizabeth | not published | $18.00 – $202.18 |
| Cooperman Barnabas Medical Center | Livingston | not published | $21.88 – $207.56 |