Electrophysiology evaluation at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,430.03
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.
$17,245.00
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.
$1,362.00 with Horizon Blue Cross Blue Shield of New Jersey vs $16,462.07 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,362.00 | ↓ -60% |
| Humana | Medicare | $1,362.00 | ↓ -60% |
| Wellpoint | Medicare Advantage | $1,362.00 | ↓ -60% |
| Clover Health | Medicare Advantage | $1,362.00 | ↓ -60% |
| Fidelis Care | Medicare Advantage | $1,362.00 | ↓ -60% |
| Aetna | Medicare | $1,362.00 | ↓ -60% |
| United Healthcare | Medicare | $1,389.24 | ↓ -59% |
| United Healthcare | Community Plan | $2,197.01 | ↓ -36% |
| Fidelis Care | NJ Family Care | $2,238.40 | ↓ -35% |
| Emblem Health | Commercial | $2,383.50 | ↓ -31% |
| Aetna | Better Health | $2,405.67 | ↓ -30% |
| Wellcare | Ambetter Health Commercial | $2,710.38 | ↓ -21% |
| United Healthcare | Oxford Metro | $3,090.00 | ↓ -10% |
| United Healthcare | Nexus | $3,627.00 | ↑ +6% |
| United Healthcare | Oxford Commercial | $3,635.00 | ↑ +6% |
| United Healthcare | Commercial | $4,267.00 | ↑ +24% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,254.97 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,012.23 | ↑ +163% |
| Cigna | Local Plus | $9,076.04 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,234.69 | ↑ +169% |
| Aetna | HMO | $9,446.00 | ↑ +175% |
| Aetna | PPO | $9,446.00 | ↑ +175% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,522.68 | ↑ +178% |
| Wellpoint | NJ Family Care | $9,829.65 | ↑ +187% |
| First Health | Commercial | $10,347.00 | ↑ +202% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $10,712.48 | ↑ +212% |
| Cigna | HMO | $11,533.45 | ↑ +236% |
| Cigna | PPO | $12,147.37 | ↑ +254% |
| Amerihealth | Regional Preferred | $12,992.38 | ↑ +279% |
| Amerihealth | Local Value | $12,992.38 | ↑ +279% |
| Qualcare Inc | HMO/POS | $13,244.16 | ↑ +286% |
| Qualcare Inc | PPO/WC | $14,123.65 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $15,135.93 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $16,462.07 | ↑ +380% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $1,614.46 | $1,362.00 – $2,724.00 |
| Newark Beth Israel Medical Center | Newark | $1,587.03 | $171.08 – $2,724.00 |
| Jersey City Medical Center | Jersey City | $1,053.13 | $215.07 – $2,845.04 |
| Bayshore Medical Center | Holmdel | $1,343.72 | $1,343.72 – $1,612.46 |
| Hackensack University Medical Center | Hackensack | $1,429.67 | $561.02 – $1,501.15 |
| Ocean University Medical Center | Brick | $1,326.75 | $104.00 – $1,592.09 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,344.88 | $104.00 – $1,344.88 |
| Jersey Shore University Medical Center | Neptune City | $1,343.72 | $543.07 – $1,612.46 |