Myelography via inj w/s&i thoracic 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.
$2,943.00
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.
$231.45 with Horizon Blue Cross Blue Shield of New Jersey vs $4,294.00 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 | $231.45 | ↓ -94% |
| United Healthcare | Community Plan | $374.93 | ↓ -91% |
| Fidelis Care | NJ Family Care | $382.00 | ↓ -90% |
| Aetna | Better Health | $410.54 | ↓ -90% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $886.38 | ↓ -78% |
| Aetna | Medicare | $886.38 | ↓ -78% |
| Humana | Medicare | $886.38 | ↓ -78% |
| Clover Health | Medicare Advantage | $886.38 | ↓ -78% |
| Wellpoint | Medicare Advantage | $886.38 | ↓ -78% |
| Fidelis Care | Medicare Advantage | $886.38 | ↓ -78% |
| United Healthcare | Medicare | $904.11 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,238.12 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,538.01 | ↓ -61% |
| Emblem Health | Commercial | $1,551.17 | ↓ -61% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,575.97 | ↓ -60% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,625.12 | ↓ -59% |
| Wellcare | Ambetter Health Commercial | $1,763.90 | ↓ -56% |
| First Health | Commercial | $1,765.80 | ↓ -56% |
| Amerihealth | Local Value | $1,905.59 | ↓ -52% |
| United Healthcare | Oxford Metro | $2,255.00 | ↓ -43% |
| Qualcare Inc | HMO/POS | $2,260.22 | ↓ -43% |
| Amerihealth | Regional Preferred | $2,321.14 | ↓ -42% |
| Qualcare Inc | PPO/WC | $2,410.31 | ↓ -40% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,583.07 | ↓ -35% |
| United Healthcare | Nexus | $2,647.00 | ↓ -34% |
| United Healthcare | Oxford Commercial | $2,653.00 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,809.38 | ↓ -30% |
| Cigna | Local Plus | $2,887.00 | ↓ -28% |
| United Healthcare | Commercial | $3,114.00 | ↓ -22% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Cigna | HMO | $3,668.00 | ↓ -8% |
| Cigna | PPO | $3,863.00 | ↓ -3% |
| Aetna | PPO | $4,294.00 | ↑ +8% |
| Aetna | HMO | $4,294.00 | ↑ +8% |
Visitor-reported prices
Comments
Myelography via inj w/s&i thoracic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $133.01 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $231.45 – $1,772.76 |
| Community Medical Center | Toms River | $3,786.00 | $231.45 – $1,718.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $136.92 – $1,772.76 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $172.13 – $1,851.54 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $231.45 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $874.49 – $1,049.38 |
| Hackensack University Medical Center | Hackensack | $930.42 | $247.42 – $976.94 |