Conversion ext bil drg cath 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.
?
What you pay up front if you don't use insurance.
$6,634.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$845.17 with United Healthcare vs $9,392.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $845.17 | ↓ -79% |
| Fidelis Care | NJ Family Care | $861.09 | ↓ -78% |
| Aetna | Better Health | $925.44 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,024.64 | ↓ -74% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,790.92 | ↓ -30% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,466.92 | ↓ -13% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,552.50 | ↓ -11% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,663.29 | ↓ -8% |
| Fidelis Care | Medicare Advantage | $3,959.32 | ↓ -1% |
| Aetna | Medicare | $3,959.32 | ↓ -1% |
| Humana | Medicare | $3,959.32 | ↓ -1% |
| Wellpoint | Medicare Advantage | $3,959.32 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,959.32 | ↓ -1% |
| Clover Health | Medicare Advantage | $3,959.32 | ↓ -1% |
| First Health | Commercial | $3,980.40 | ↓ -0% |
| United Healthcare | Medicare | $4,038.51 | ↑ +1% |
| Amerihealth | Local Value | $4,295.51 | ↑ +8% |
| United Healthcare | Oxford Metro | $4,332.00 | ↑ +9% |
| United Healthcare | Nexus | $5,085.00 | ↑ +28% |
| Qualcare Inc | HMO/POS | $5,094.91 | ↑ +28% |
| United Healthcare | Oxford Commercial | $5,097.00 | ↑ +28% |
| Aetna | HMO | $5,153.00 | ↑ +29% |
| Aetna | PPO | $5,153.00 | ↑ +29% |
| Amerihealth | Regional Preferred | $5,232.23 | ↑ +31% |
| Qualcare Inc | PPO/WC | $5,433.24 | ↑ +36% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $5,822.66 | ↑ +46% |
| United Healthcare | Commercial | $5,982.00 | ↑ +50% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $6,332.81 | ↑ +59% |
| Emblem Health | Commercial | $6,928.81 | ↑ +74% |
| Cigna | Local Plus | $7,018.00 | ↑ +76% |
| Wellcare | Ambetter Health Commercial | $7,879.05 | ↑ +98% |
| Cigna | HMO | $8,917.00 | ↑ +124% |
| Cigna | PPO | $9,392.00 | ↑ +136% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $453.36 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,024.64 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $1,024.64 – $7,675.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $466.69 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $586.70 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,024.64 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |
| Hackensack University Medical Center | Hackensack | $4,156.03 | $398.13 – $4,363.83 |