Mr sfty implt&/fb asmt stf 1 at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$13.92
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.
$70.00
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.
$7.74 with Horizon Blue Cross Blue Shield of New Jersey vs $66.82 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 | $7.74 | ↓ -44% |
| United Healthcare | Community Plan | $8.91 | ↓ -36% |
| Fidelis Care | NJ Family Care | $9.08 | ↓ -35% |
| Aetna | Better Health | $9.76 | ↓ -30% |
| Amerihealth | Local Value | $12.00 | ↓ -14% |
| Amerihealth | Regional Preferred | $12.00 | ↓ -14% |
| Clover Health | Medicare Advantage | $27.48 | ↑ +97% |
| Humana | Medicare | $27.48 | ↑ +97% |
| Aetna | Medicare | $27.48 | ↑ +97% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $27.48 | ↑ +97% |
| Wellpoint | Medicare Advantage | $27.48 | ↑ +97% |
| Fidelis Care | Medicare Advantage | $27.48 | ↑ +97% |
| United Healthcare | Medicare | $28.03 | ↑ +101% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $29.44 | ↑ +111% |
| Aetna | PPO | $30.68 | ↑ +120% |
| Aetna | HMO | $30.68 | ↑ +120% |
| United Healthcare | Oxford Metro | $32.82 | ↑ +136% |
| United Healthcare | Nexus | $32.82 | ↑ +136% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $36.58 | ↑ +163% |
| Cigna | Local Plus | $36.84 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $37.48 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $38.65 | ↑ +178% |
| United Healthcare | Commercial | $38.69 | ↑ +178% |
| United Healthcare | Oxford Commercial | $38.69 | ↑ +178% |
| Wellpoint | NJ Family Care | $39.90 | ↑ +187% |
| First Health | Commercial | $42.00 | ↑ +202% |
| Cigna | HMO | $46.81 | ↑ +236% |
| Emblem Health | Commercial | $48.09 | ↑ +245% |
| Cigna | PPO | $49.30 | ↑ +254% |
| Qualcare Inc | HMO/POS | $53.76 | ↑ +286% |
| Wellcare | Ambetter Health Commercial | $54.69 | ↑ +293% |
| Qualcare Inc | PPO/WC | $57.33 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $61.43 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $66.82 | ↑ +380% |
Visitor-reported prices
Comments
Mr sfty implt&/fb asmt stf 1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $13.13 | $12.27 – $53.52 |
| Cooperman Barnabas Medical Center | Livingston | $14.83 | $7.74 – $54.96 |
| Community Medical Center | Toms River | $14.51 | $7.74 – $53.25 |
| Newark Beth Israel Medical Center | Newark | $14.58 | $7.74 – $54.96 |
| Jersey City Medical Center | Jersey City | $14.54 | $7.74 – $57.39 |
| Monmouth Medical Center | Long Branch | $15.31 | $7.74 – $53.95 |
| Bayshore Medical Center | Holmdel | $27.11 | $17.04 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $28.84 | $7.02 – $4,332.00 |