Lung Function Test (Spirometry) at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$164.68
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.
$828.00
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.
$105.48 with United Healthcare vs $790.40 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $105.48 | ↓ -36% |
| Fidelis Care | NJ Family Care | $107.47 | ↓ -35% |
| Aetna | Better Health | $115.50 | ↓ -30% |
| Wellpoint | Medicare Advantage | $175.54 | ↑ +7% |
| Humana | Medicare | $175.54 | ↑ +7% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $175.54 | ↑ +7% |
| Fidelis Care | Medicare Advantage | $175.54 | ↑ +7% |
| Aetna | Medicare | $175.54 | ↑ +7% |
| Clover Health | Medicare Advantage | $175.54 | ↑ +7% |
| United Healthcare | Medicare | $179.05 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $260.76 | ↑ +58% |
| Emblem Health | Commercial | $307.20 | ↑ +87% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $348.33 | ↑ +112% |
| Wellcare | Ambetter Health Commercial | $349.32 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $432.71 | ↑ +163% |
| Cigna | Local Plus | $435.77 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $443.39 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $457.22 | ↑ +178% |
| Wellpoint | NJ Family Care | $471.96 | ↑ +187% |
| Aetna | HMO | $488.52 | ↑ +197% |
| Aetna | PPO | $488.52 | ↑ +197% |
| First Health | Commercial | $496.80 | ↑ +202% |
| United Healthcare | Nexus | $507.00 | ↑ +208% |
| United Healthcare | Oxford Metro | $507.00 | ↑ +208% |
| Cigna | HMO | $553.76 | ↑ +236% |
| Cigna | PPO | $583.24 | ↑ +254% |
| United Healthcare | Oxford Commercial | $596.00 | ↑ +262% |
| United Healthcare | Commercial | $596.00 | ↑ +262% |
| Amerihealth | Local Value | $623.81 | ↑ +279% |
| Amerihealth | Regional Preferred | $623.81 | ↑ +279% |
| Qualcare Inc | HMO/POS | $635.90 | ↑ +286% |
| Qualcare Inc | PPO/WC | $678.13 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $726.73 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $790.40 | ↑ +380% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $187.95 | $175.54 – $351.08 |
| Community Medical Center | Toms River | $168.82 | $170.99 – $340.27 |
| Newark Beth Israel Medical Center | Newark | $184.76 | $14.63 – $351.08 |
| Jersey City Medical Center | Jersey City | $169.14 | $18.39 – $366.68 |
| Monmouth Medical Center | Long Branch | $178.10 | $173.18 – $344.63 |
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $910.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $48.73 – $5,456.00 |
| Ocean University Medical Center | Brick | $170.99 | $46.41 – $389.00 |