Nm radiopharmaceutical therapy oral administration at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$353.84
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.
$1,779.00
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.
$144.33 with Aetna vs $1,698.23 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 |
|---|---|---|---|
| Aetna | HMO | $144.33 | ↓ -59% |
| Aetna | PPO | $144.33 | ↓ -59% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $176.19 | ↓ -50% |
| United Healthcare | Community Plan | $226.64 | ↓ -36% |
| Fidelis Care | NJ Family Care | $230.91 | ↓ -35% |
| Aetna | Better Health | $248.17 | ↓ -30% |
| Fidelis Care | Medicare Advantage | $251.46 | ↓ -29% |
| Aetna | Medicare | $251.46 | ↓ -29% |
| Humana | Medicare | $251.46 | ↓ -29% |
| Wellpoint | Medicare Advantage | $251.46 | ↓ -29% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $251.46 | ↓ -29% |
| Clover Health | Medicare Advantage | $251.46 | ↓ -29% |
| United Healthcare | Medicare | $256.49 | ↓ -28% |
| Cigna | Local Plus | $267.06 | ↓ -25% |
| Cigna | PPO | $267.06 | ↓ -25% |
| Cigna | HMO | $267.06 | ↓ -25% |
| Amerihealth | Local Value | $308.28 | ↓ -13% |
| Amerihealth | Regional Preferred | $308.28 | ↓ -13% |
| United Healthcare | Oxford Metro | $334.64 | ↓ -5% |
| United Healthcare | Nexus | $334.64 | ↓ -5% |
| United Healthcare | Commercial | $375.09 | ↑ +6% |
| United Healthcare | Oxford Commercial | $375.09 | ↑ +6% |
| Emblem Health | Commercial | $440.06 | ↑ +24% |
| Wellcare | Ambetter Health Commercial | $500.41 | ↑ +41% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $748.42 | ↑ +112% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +134% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +145% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $929.70 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $952.65 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $982.36 | ↑ +178% |
| Wellpoint | NJ Family Care | $1,014.03 | ↑ +187% |
| First Health | Commercial | $1,067.40 | ↑ +202% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,561.42 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,698.23 | ↑ +380% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $625.79 | $68.48 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $604.97 | $144.33 – $828.00 |
| Community Medical Center | Toms River | $691.47 | $132.48 – $828.00 |
| Newark Beth Israel Medical Center | Newark | $594.69 | $70.50 – $828.00 |
| Jersey City Medical Center | Jersey City | $692.80 | $88.62 – $805.00 |
| Monmouth Medical Center | Long Branch | $729.47 | $136.36 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $139.43 – $675.85 |
| Hackensack University Medical Center | Hackensack | $263.95 | $144.96 – $771.95 |