Cath left heart/lv gram at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$2,806.87
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.
$14,112.00
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.
$1,797.86 with United Healthcare vs $22,690.00 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,797.86 | ↓ -36% |
| Fidelis Care | NJ Family Care | $1,831.73 | ↓ -35% |
| Aetna | Better Health | $1,968.62 | ↓ -30% |
| Wellpoint | NJ Family Care | $3,180.00 | ↑ +13% |
| Wellpoint | Medicare Advantage | $3,608.55 | ↑ +29% |
| Humana | Medicare | $3,608.55 | ↑ +29% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,608.55 | ↑ +29% |
| Aetna | Medicare | $3,608.55 | ↑ +29% |
| Fidelis Care | Medicare Advantage | $3,608.55 | ↑ +29% |
| Clover Health | Medicare Advantage | $3,608.55 | ↑ +29% |
| United Healthcare | Medicare | $3,680.72 | ↑ +31% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,371.00 | ↑ +56% |
| United Healthcare | Oxford Metro | $5,056.00 | ↑ +80% |
| United Healthcare | Nexus | $5,934.00 | ↑ +111% |
| United Healthcare | Oxford Commercial | $5,948.00 | ↑ +112% |
| Emblem Health | Commercial | $6,314.96 | ↑ +125% |
| United Healthcare | Commercial | $6,981.00 | ↑ +149% |
| Wellcare | Ambetter Health Commercial | $7,181.01 | ↑ +156% |
| Cigna | Local Plus | $7,427.14 | ↑ +165% |
| First Health | Commercial | $8,467.20 | ↑ +202% |
| Cigna | HMO | $9,438.10 | ↑ +236% |
| Cigna | PPO | $9,940.49 | ↑ +254% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $11,691.00 | ↑ +317% |
| Qualcare Inc | HMO/POS | $12,172.00 | ↑ +334% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $12,425.00 | ↑ +343% |
| Qualcare Inc | PPO/WC | $13,304.00 | ↑ +374% |
| Amerihealth | Local Value | $14,394.00 | ↑ +413% |
| Aetna | HMO | $14,722.00 | ↑ +424% |
| Aetna | PPO | $14,722.00 | ↑ +424% |
| Amerihealth | Regional Preferred | $16,170.00 | ↑ +476% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $16,613.00 | ↑ +492% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $21,379.00 | ↑ +662% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $22,002.00 | ↑ +684% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $22,690.00 | ↑ +708% |
Visitor-reported prices
Comments
Cath left heart/lv gram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,648.82 | $460.23 – $7,030.30 |
| Cooperman Barnabas Medical Center | Livingston | $2,990.33 | $3,608.55 – $7,217.10 |
| Community Medical Center | Toms River | $2,926.82 | $3,515.15 – $6,995.15 |
| Newark Beth Israel Medical Center | Newark | $2,939.52 | $473.77 – $7,217.10 |
| Jersey City Medical Center | Jersey City | $2,932.47 | $595.60 – $7,537.80 |
| Monmouth Medical Center | Long Branch | $3,087.70 | $3,560.12 – $7,084.64 |
| Bayshore Medical Center | Holmdel | $3,560.12 | $3,560.12 – $4,272.14 |
| Hackensack University Medical Center | Hackensack | $3,787.84 | $1,579.62 – $3,977.23 |