Insert swan-ganz cath at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$572.83
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.
$2,880.00
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.
$218.28 with Horizon Blue Cross Blue Shield of New Jersey vs $14,722.00 with Aetna — 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 | $218.28 | ↓ -62% |
| United Healthcare | Community Plan | $366.91 | ↓ -36% |
| Fidelis Care | NJ Family Care | $373.82 | ↓ -35% |
| Aetna | Better Health | $401.76 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,211.61 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,505.08 | ↑ +163% |
| Cigna | Local Plus | $1,515.74 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,542.24 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,590.33 | ↑ +178% |
| First Health | Commercial | $1,728.00 | ↑ +202% |
| Clover Health | Medicare Advantage | $1,742.84 | ↑ +204% |
| Humana | Medicare | $1,742.84 | ↑ +204% |
| Aetna | Medicare | $1,742.84 | ↑ +204% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,742.84 | ↑ +204% |
| Wellpoint | Medicare Advantage | $1,742.84 | ↑ +204% |
| Fidelis Care | Medicare Advantage | $1,742.84 | ↑ +204% |
| United Healthcare | Medicare | $1,777.70 | ↑ +210% |
| Cigna | HMO | $1,926.14 | ↑ +236% |
| Cigna | PPO | $2,028.67 | ↑ +254% |
| Qualcare Inc | HMO/POS | $2,211.84 | ↑ +286% |
| United Healthcare | Oxford Metro | $2,255.00 | ↑ +294% |
| Qualcare Inc | PPO/WC | $2,358.72 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,527.77 | ↑ +341% |
| United Healthcare | Nexus | $2,647.00 | ↑ +362% |
| United Healthcare | Oxford Commercial | $2,653.00 | ↑ +363% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,749.24 | ↑ +380% |
| Emblem Health | Commercial | $3,049.97 | ↑ +432% |
| United Healthcare | Commercial | $3,114.00 | ↑ +444% |
| Wellpoint | NJ Family Care | $3,180.00 | ↑ +455% |
| Wellcare | Ambetter Health Commercial | $3,468.25 | ↑ +505% |
| Aetna | PPO | $14,722.00 | ↑ +2470% |
| Aetna | HMO | $14,722.00 | ↑ +2470% |
| Amerihealth | Local Value | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Insert swan-ganz cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $897.01 | $42.96 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $1,012.67 | $220.95 – $3,485.68 |
| Community Medical Center | Toms River | $991.16 | $226.27 – $3,378.46 |
| Newark Beth Israel Medical Center | Newark | $995.46 | $44.23 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $993.07 | $55.60 – $3,640.55 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $1,719.44 – $2,063.33 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $143.65 – $1,920.90 |
| Ocean University Medical Center | Brick | $1,697.72 | $140.38 – $14,806.00 |