Esophgl motil w/stim/perfus at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$222.17
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.
$1,117.00
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.
$20.81 with Horizon Blue Cross Blue Shield of New Jersey vs $3,053.00 with United Healthcare — 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 | NJ Health | $20.81 | ↓ -91% |
| United Healthcare | Community Plan | $142.30 | ↓ -36% |
| Fidelis Care | NJ Family Care | $144.98 | ↓ -35% |
| Aetna | Better Health | $155.82 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $469.92 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $583.74 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $598.15 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $616.80 | ↑ +178% |
| Wellpoint | NJ Family Care | $636.69 | ↑ +187% |
| Aetna | PPO | $659.03 | ↑ +197% |
| Aetna | HMO | $659.03 | ↑ +197% |
| First Health | Commercial | $670.20 | ↑ +202% |
| Amerihealth | Local Value | $841.54 | ↑ +279% |
| Amerihealth | Regional Preferred | $841.54 | ↑ +279% |
| Qualcare Inc | HMO/POS | $857.85 | ↑ +286% |
| Qualcare Inc | PPO/WC | $914.82 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $980.39 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,066.28 | ↑ +380% |
| United Healthcare | Oxford Metro | $2,211.00 | ↑ +895% |
| United Healthcare | Nexus | $2,595.00 | ↑ +1068% |
| United Healthcare | Oxford Commercial | $2,601.00 | ↑ +1071% |
| United Healthcare | Commercial | $3,053.00 | ↑ +1274% |
Visitor-reported prices
Comments
Esophgl motil w/stim/perfus at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $183.07 | $20.05 – $20.05 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $144.09 | $24.49 – $24.49 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $188.77 | $13.92 – $19.16 |
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $45.10 – $45.10 |
| Ocean University Medical Center | Brick | not published | $42.96 – $42.96 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $45.10 – $45.10 |
| Jersey Shore University Medical Center | Neptune City | not published | $42.96 – $42.96 |