Electron microscopy diagnostic at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$210.63
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.
$1,059.00
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.
$147.73 with Aetna vs $1,823.84 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 |
|---|---|---|---|
| Aetna | Better Health | $147.73 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $301.76 | ↑ +43% |
| United Healthcare | Commercial | $345.51 | ↑ +64% |
| United Healthcare | Oxford Commercial | $345.51 | ↑ +64% |
| Amerihealth | Local Value | $361.00 | ↑ +71% |
| Amerihealth | Regional Preferred | $361.00 | ↑ +71% |
| United Healthcare | Nexus | $364.96 | ↑ +73% |
| United Healthcare | Oxford Metro | $364.96 | ↑ +73% |
| United Healthcare | Community Plan | $417.28 | ↑ +98% |
| Fidelis Care | NJ Family Care | $425.23 | ↑ +102% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $471.61 | ↑ +124% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $471.61 | ↑ +124% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $471.61 | ↑ +124% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $471.61 | ↑ +124% |
| Wellpoint | NJ Family Care | $603.63 | ↑ +187% |
| First Health | Commercial | $635.40 | ↑ +202% |
| Aetna | PPO | $681.04 | ↑ +223% |
| Aetna | HMO | $681.04 | ↑ +223% |
| Qualcare Inc | HMO/POS | $813.31 | ↑ +286% |
| Qualcare Inc | PPO/WC | $867.32 | ↑ +312% |
| Fidelis Care | Medicare Advantage | $916.50 | ↑ +335% |
| Aetna | Medicare | $916.50 | ↑ +335% |
| Wellpoint | Medicare Advantage | $916.50 | ↑ +335% |
| Clover Health | Medicare Advantage | $916.50 | ↑ +335% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $916.50 | ↑ +335% |
| Humana | Medicare | $916.50 | ↑ +335% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $929.48 | ↑ +341% |
| United Healthcare | Medicare | $934.83 | ↑ +344% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,010.92 | ↑ +380% |
| Emblem Health | Commercial | $1,603.88 | ↑ +661% |
| Cigna | Local Plus | $1,640.88 | ↑ +679% |
| Cigna | PPO | $1,640.88 | ↑ +679% |
| Cigna | HMO | $1,640.88 | ↑ +679% |
| Wellcare | Ambetter Health Commercial | $1,823.84 | ↑ +766% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $657.31 | $301.76 – $1,833.00 |
| Community Medical Center | Toms River | $326.65 | $301.76 – $1,776.61 |
| Newark Beth Israel Medical Center | Newark | $646.14 | $301.76 – $1,833.00 |
| Jersey City Medical Center | Jersey City | $327.28 | $301.76 – $1,914.44 |
| Monmouth Medical Center | Long Branch | $344.61 | $301.76 – $1,799.34 |
| Bayshore Medical Center | Holmdel | $904.19 | $629.97 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $273.55 – $1,010.13 |
| Ocean University Medical Center | Brick | $892.77 | $203.62 – $895.49 |