Ins picc wo subq prt/pmp w image guidnc <5yr at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,986.00
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.
$4,872.00
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.
$310.98 with Horizon Blue Cross Blue Shield of New Jersey vs $4,650.81 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 | NJ Health | $310.98 | ↓ -92% |
| United Healthcare | Community Plan | $620.69 | ↓ -84% |
| Fidelis Care | NJ Family Care | $632.38 | ↓ -84% |
| Aetna | Better Health | $679.64 | ↓ -83% |
| Clover Health | Medicare Advantage | $693.64 | ↓ -83% |
| Humana | Medicare | $693.64 | ↓ -83% |
| Wellpoint | Medicare Advantage | $693.64 | ↓ -83% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $693.64 | ↓ -83% |
| Fidelis Care | Medicare Advantage | $693.64 | ↓ -83% |
| Aetna | Medicare | $693.64 | ↓ -83% |
| United Healthcare | Medicare | $707.51 | ↓ -82% |
| Emblem Health | Commercial | $1,213.87 | ↓ -70% |
| Wellcare | Ambetter Health Commercial | $1,380.34 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,049.65 | ↓ -49% |
| United Healthcare | Oxford Metro | $2,255.00 | ↓ -43% |
| Cigna | Local Plus | $2,261.00 | ↓ -43% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,546.10 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,608.95 | ↓ -35% |
| United Healthcare | Nexus | $2,647.00 | ↓ -34% |
| United Healthcare | Oxford Commercial | $2,653.00 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,690.31 | ↓ -33% |
| Cigna | HMO | $2,873.00 | ↓ -28% |
| First Health | Commercial | $2,923.20 | ↓ -27% |
| Cigna | PPO | $3,026.00 | ↓ -24% |
| United Healthcare | Commercial | $3,114.00 | ↓ -22% |
| Amerihealth | Local Value | $3,154.62 | ↓ -21% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Qualcare Inc | HMO/POS | $3,741.69 | ↓ -6% |
| Amerihealth | Regional Preferred | $3,842.54 | ↓ -4% |
| Qualcare Inc | PPO/WC | $3,990.16 | ↑ +0% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,276.15 | ↑ +7% |
| Aetna | HMO | $4,294.00 | ↑ +8% |
| Aetna | PPO | $4,294.00 | ↑ +8% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,650.81 | ↑ +17% |
Visitor-reported prices
Comments
Ins picc wo subq prt/pmp w image guidnc <5yr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $191.38 – $1,351.36 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $310.98 – $1,387.28 |
| Community Medical Center | Toms River | $3,786.00 | $310.98 – $1,344.60 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $197.01 – $1,387.28 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $247.67 – $1,448.92 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $310.98 – $1,361.82 |
| Bayshore Medical Center | Holmdel | $684.33 | $684.33 – $821.19 |
| Hackensack University Medical Center | Hackensack | $728.10 | $165.11 – $764.51 |