New Patient Office Visit (level 4) at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$138.63
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.
$697.00
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.
$88.79 with United Healthcare vs $665.35 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $88.79 | ↓ -36% |
| Fidelis Care | NJ Family Care | $90.47 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $95.55 | ↓ -31% |
| Aetna | Better Health | $97.23 | ↓ -30% |
| United Healthcare | Oxford Metro | $203.24 | ↑ +47% |
| United Healthcare | Nexus | $203.24 | ↑ +47% |
| United Healthcare | Oxford Commercial | $239.07 | ↑ +72% |
| United Healthcare | Commercial | $239.07 | ↑ +72% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $293.22 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $364.25 | ↑ +163% |
| Cigna | Local Plus | $366.83 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $373.24 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $384.88 | ↑ +178% |
| Wellpoint | NJ Family Care | $397.29 | ↑ +187% |
| Aetna | HMO | $411.23 | ↑ +197% |
| Aetna | PPO | $411.23 | ↑ +197% |
| First Health | Commercial | $418.20 | ↑ +202% |
| Cigna | HMO | $466.15 | ↑ +236% |
| Cigna | PPO | $490.96 | ↑ +254% |
| Amerihealth | Regional Preferred | $525.11 | ↑ +279% |
| Amerihealth | Local Value | $525.11 | ↑ +279% |
| Qualcare Inc | HMO/POS | $535.29 | ↑ +286% |
| Qualcare Inc | PPO/WC | $570.84 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $611.75 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $665.35 | ↑ +380% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $130.82 | $88.72 – $95.55 |
| Cooperman Barnabas Medical Center | Livingston | $147.69 | $95.55 – $95.55 |
| Community Medical Center | Toms River | $144.55 | $95.55 – $95.55 |
| Childrens Specialized Hospital | Mountainside | $413.50 | $261.30 – $261.30 |
| Newark Beth Israel Medical Center | Newark | $145.18 | $91.33 – $95.55 |
| Jersey City Medical Center | Jersey City | $144.83 | $95.55 – $114.81 |
| Monmouth Medical Center | Long Branch | $152.50 | $95.55 – $95.55 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $114.23 | $95.55 – $284.53 |