Endo cath panc duct s&i at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$205.66
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.
$1,034.00
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.
$122.30 with Horizon Blue Cross Blue Shield of New Jersey vs $987.05 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 | State Benefit Plan | $122.30 | ↓ -41% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $122.30 | ↓ -41% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $122.30 | ↓ -41% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $122.30 | ↓ -41% |
| United Healthcare | Community Plan | $131.73 | ↓ -36% |
| Fidelis Care | NJ Family Care | $134.21 | ↓ -35% |
| Aetna | Better Health | $144.24 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $209.26 | ↑ +2% |
| Wellpoint | NJ Family Care | $589.38 | ↑ +187% |
| Aetna | HMO | $610.06 | ↑ +197% |
| Aetna | PPO | $610.06 | ↑ +197% |
| First Health | Commercial | $620.40 | ↑ +202% |
| Qualcare Inc | HMO/POS | $794.11 | ↑ +286% |
| Qualcare Inc | PPO/WC | $846.84 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $907.54 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $987.05 | ↑ +380% |
Visitor-reported prices
Comments
Endo cath panc duct s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $230.68 | $27.69 – $331.76 |
| Jersey City Medical Center | Jersey City | $255.38 | $35.84 – $300.61 |
| Monmouth Medical Center Southern Campus | Lakewood | $292.13 | $163.06 – $343.00 |
| Robert Wood Johnson University Hospital | New Brunswick | $184.29 | $106.02 – $163.06 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $133.38 | $122.30 – $122.30 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $174.74 | $29.32 – $122.30 |
| Cooperman Barnabas Medical Center | Livingston | not published | $122.30 – $343.00 |
| Community Medical Center | Toms River | not published | $122.30 – $122.30 |