Electrophysiology evaluation at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$2,105.15
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.
$10,584.00
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.
$1,348.40 with United Healthcare vs $16,941.35 with Wellcare — 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 | $1,348.40 | ↓ -36% |
| Fidelis Care | NJ Family Care | $1,373.80 | ↓ -35% |
| Aetna | Better Health | $1,476.46 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,452.68 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $4,518.20 | ↑ +115% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,531.19 | ↑ +163% |
| Cigna | Local Plus | $5,570.35 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,667.73 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,844.48 | ↑ +178% |
| Wellpoint | NJ Family Care | $6,032.88 | ↑ +187% |
| First Health | Commercial | $6,350.40 | ↑ +202% |
| United Healthcare | Oxford Metro | $6,404.00 | ↑ +204% |
| Cigna | HMO | $7,078.57 | ↑ +236% |
| Cigna | PPO | $7,455.36 | ↑ +254% |
| United Healthcare | Nexus | $7,517.00 | ↑ +257% |
| United Healthcare | Oxford Commercial | $7,534.00 | ↑ +258% |
| Amerihealth | Regional Preferred | $7,973.98 | ↑ +279% |
| Amerihealth | Local Value | $7,973.98 | ↑ +279% |
| Qualcare Inc | HMO/POS | $8,128.51 | ↑ +286% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $8,513.24 | ↑ +304% |
| Clover Health | Medicare Advantage | $8,513.24 | ↑ +304% |
| Wellpoint | Medicare Advantage | $8,513.24 | ↑ +304% |
| Fidelis Care | Medicare Advantage | $8,513.24 | ↑ +304% |
| Humana | Medicare | $8,513.24 | ↑ +304% |
| Aetna | Medicare | $8,513.24 | ↑ +304% |
| Qualcare Inc | PPO/WC | $8,668.29 | ↑ +312% |
| United Healthcare | Medicare | $8,683.50 | ↑ +312% |
| United Healthcare | Commercial | $8,843.00 | ↑ +320% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $9,289.57 | ↑ +341% |
| Aetna | HMO | $9,446.00 | ↑ +349% |
| Aetna | PPO | $9,446.00 | ↑ +349% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $10,103.48 | ↑ +380% |
| Emblem Health | Commercial | $14,898.17 | ↑ +608% |
| Wellcare | Ambetter Health Commercial | $16,941.35 | ↑ +705% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,807.25 | $4,573.30 – $17,026.48 |
| Newark Beth Israel Medical Center | Newark | $2,759.55 | $519.75 – $17,026.48 |
| Jersey City Medical Center | Jersey City | $2,486.32 | $653.40 – $17,783.04 |
| Bayshore Medical Center | Holmdel | $8,398.96 | $8,398.96 – $10,078.76 |
| Hackensack University Medical Center | Hackensack | $8,936.20 | $2,030.00 – $9,383.01 |
| Ocean University Medical Center | Brick | $8,292.88 | $104.00 – $9,951.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $8,406.25 | $104.00 – $8,406.25 |
| Jersey Shore University Medical Center | Neptune City | $8,398.96 | $2,405.11 – $10,078.76 |