Low cost skin substitute app at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$162.50
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.
?
What you pay up front if you don't use insurance.
$817.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.48 with Horizon Blue Cross Blue Shield of New Jersey vs $4,294.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.48 | ↓ -88% |
| United Healthcare | Community Plan | $104.08 | ↓ -36% |
| Fidelis Care | NJ Family Care | $106.04 | ↓ -35% |
| Aetna | Better Health | $113.97 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $343.71 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $426.96 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $437.50 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $451.14 | ↑ +178% |
| Wellpoint | NJ Family Care | $465.69 | ↑ +187% |
| First Health | Commercial | $490.20 | ↑ +202% |
| Amerihealth | Local Value | $529.00 | ↑ +226% |
| Qualcare Inc | HMO/POS | $627.45 | ↑ +286% |
| Amerihealth | Regional Preferred | $644.36 | ↑ +297% |
| Qualcare Inc | PPO/WC | $669.12 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $717.08 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $779.90 | ↑ +380% |
| United Healthcare | Oxford Metro | $2,211.00 | ↑ +1261% |
| United Healthcare | Nexus | $2,595.00 | ↑ +1497% |
| United Healthcare | Oxford Commercial | $2,601.00 | ↑ +1501% |
| United Healthcare | Commercial | $3,053.00 | ↑ +1779% |
| Aetna | PPO | $4,294.00 | ↑ +2542% |
| Aetna | HMO | $4,294.00 | ↑ +2542% |
Visitor-reported prices
Comments
Low cost skin substitute app at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $160.19 | $19.72 – $19.72 |
| Community Medical Center | Toms River | $156.79 | $20.20 – $20.20 |
| Newark Beth Israel Medical Center | Newark | $157.47 | $35.76 – $35.76 |
| Jersey City Medical Center | Jersey City | $157.09 | $21.38 – $21.38 |
| Monmouth Medical Center | Long Branch | $165.41 | $38.97 – $38.97 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $133.90 | $18.77 – $18.77 |
| Monmouth Medical Center Southern Campus | Lakewood | $179.70 | $48.59 – $48.59 |
| Robert Wood Johnson University Hospital | New Brunswick | $161.25 | $17.94 – $17.94 |