Insert/repl sq defib w/eltrd 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.
$41,534.00
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.
$3,266.00 with Wellpoint vs $71,581.35 with Wellcare — 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| United Healthcare | Community Plan | $5,291.43 | ↑ +33% |
| Fidelis Care | NJ Family Care | $5,391.11 | ↑ +35% |
| Aetna | Better Health | $5,793.99 | ↑ +45% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $16,392.00 | ↑ +311% |
| Cigna | Local Plus | $19,204.00 | ↑ +382% |
| Cigna | HMO | $24,402.00 | ↑ +512% |
| First Health | Commercial | $24,920.40 | ↑ +525% |
| Cigna | PPO | $25,701.00 | ↑ +545% |
| Amerihealth | Local Value | $26,630.00 | ↑ +568% |
| United Healthcare | Oxford Metro | $31,462.00 | ↑ +689% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $33,223.00 | ↑ +733% |
| Amerihealth | Regional Preferred | $33,286.00 | ↑ +735% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $35,970.53 | ↑ +802% |
| Aetna | Medicare | $35,970.53 | ↑ +802% |
| Humana | Medicare | $35,970.53 | ↑ +802% |
| Fidelis Care | Medicare Advantage | $35,970.53 | ↑ +802% |
| Clover Health | Medicare Advantage | $35,970.53 | ↑ +802% |
| Wellpoint | Medicare Advantage | $35,970.53 | ↑ +802% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $36,454.39 | ↑ +815% |
| United Healthcare | Medicare | $36,689.94 | ↑ +820% |
| United Healthcare | Nexus | $36,930.00 | ↑ +826% |
| United Healthcare | Oxford Commercial | $37,014.00 | ↑ +829% |
| Aetna | HMO | $39,258.00 | ↑ +885% |
| Aetna | PPO | $39,258.00 | ↑ +885% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $39,648.35 | ↑ +895% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $42,758.00 | ↑ +973% |
| United Healthcare | Commercial | $43,447.00 | ↑ +990% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $44,005.00 | ↑ +1004% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $45,379.00 | ↑ +1038% |
| Emblem Health | Commercial | $62,948.43 | ↑ +1479% |
| Wellcare | Ambetter Health Commercial | $71,581.35 | ↑ +1696% |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
Visitor-reported prices
Comments
Insert/repl sq defib w/eltrd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $279.06 – $70,078.92 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $35,970.53 – $71,941.06 |
| Community Medical Center | Toms River | $3,786.00 | $35,039.46 – $69,728.53 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $287.27 – $71,941.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $361.14 – $75,137.70 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $35,487.68 – $70,620.48 |
| Bayshore Medical Center | Holmdel | $35,487.68 | $35,487.68 – $42,585.22 |
| Hackensack University Medical Center | Hackensack | $37,757.64 | $1,164.98 – $39,645.52 |