Hast w/i&r phys/qhp at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$87.91
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.
$442.00
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.
$56.31 with United Healthcare vs $596.00 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $56.31 | ↓ -36% |
| Fidelis Care | NJ Family Care | $57.37 | ↓ -35% |
| Aetna | Better Health | $61.65 | ↓ -30% |
| Clover Health | Medicare Advantage | $144.62 | ↑ +65% |
| Humana | Medicare | $144.62 | ↑ +65% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $144.62 | ↑ +65% |
| Aetna | Medicare | $144.62 | ↑ +65% |
| Fidelis Care | Medicare Advantage | $144.62 | ↑ +65% |
| Wellpoint | Medicare Advantage | $144.62 | ↑ +65% |
| United Healthcare | Medicare | $147.51 | ↑ +68% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $185.94 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $230.98 | ↑ +163% |
| Cigna | Local Plus | $232.62 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $236.69 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $244.07 | ↑ +178% |
| Wellpoint | NJ Family Care | $251.94 | ↑ +187% |
| Emblem Health | Commercial | $253.09 | ↑ +188% |
| Aetna | PPO | $260.78 | ↑ +197% |
| Aetna | HMO | $260.78 | ↑ +197% |
| First Health | Commercial | $265.20 | ↑ +202% |
| Wellcare | Ambetter Health Commercial | $287.79 | ↑ +227% |
| Cigna | HMO | $295.60 | ↑ +236% |
| Cigna | PPO | $311.34 | ↑ +254% |
| Amerihealth | Regional Preferred | $333.00 | ↑ +279% |
| Amerihealth | Local Value | $333.00 | ↑ +279% |
| Qualcare Inc | HMO/POS | $339.45 | ↑ +286% |
| Qualcare Inc | PPO/WC | $361.99 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $387.94 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $421.93 | ↑ +380% |
| United Healthcare | Oxford Metro | $507.00 | ↑ +477% |
| United Healthcare | Nexus | $507.00 | ↑ +477% |
| United Healthcare | Oxford Commercial | $596.00 | ↑ +578% |
| United Healthcare | Commercial | $596.00 | ↑ +578% |
Visitor-reported prices
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Hast w/i&r phys/qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $128.83 | $144.62 – $289.24 |
| Bayshore Medical Center | Holmdel | $142.67 | $67.99 – $155.51 |
| Hackensack University Medical Center | Hackensack | $151.80 | $89.87 – $159.39 |
| Ocean University Medical Center | Brick | $140.87 | $67.99 – $220.41 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $89.87 – $220.41 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $67.99 – $155.51 |
| Palisades Medical Center | North Bergen | $151.80 | $89.87 – $165.46 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $67.99 – $155.65 |