Noninv pace analysis at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$98.05
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.
$493.00
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.
$62.80 with United Healthcare vs $1,113.00 with United Healthcare — 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 | $62.80 | ↓ -36% |
| Fidelis Care | NJ Family Care | $63.99 | ↓ -35% |
| Aetna | Better Health | $68.77 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $207.40 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $257.64 | ↑ +163% |
| Cigna | Local Plus | $259.46 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $264.00 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $272.23 | ↑ +178% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $276.36 | ↑ +182% |
| Wellpoint | NJ Family Care | $281.01 | ↑ +187% |
| Aetna | HMO | $290.87 | ↑ +197% |
| Aetna | PPO | $290.87 | ↑ +197% |
| First Health | Commercial | $295.80 | ↑ +202% |
| Cigna | HMO | $329.71 | ↑ +236% |
| Humana | Medicare | $336.48 | ↑ +243% |
| Aetna | Medicare | $336.48 | ↑ +243% |
| Wellpoint | Medicare Advantage | $336.48 | ↑ +243% |
| Clover Health | Medicare Advantage | $336.48 | ↑ +243% |
| Fidelis Care | Medicare Advantage | $336.48 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $336.48 | ↑ +243% |
| United Healthcare | Medicare | $343.21 | ↑ +250% |
| Cigna | PPO | $347.26 | ↑ +254% |
| Amerihealth | Regional Preferred | $371.42 | ↑ +279% |
| Amerihealth | Local Value | $371.42 | ↑ +279% |
| Qualcare Inc | HMO/POS | $378.62 | ↑ +286% |
| Qualcare Inc | PPO/WC | $403.76 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $432.70 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $470.61 | ↑ +380% |
| Emblem Health | Commercial | $588.84 | ↑ +501% |
| Wellcare | Ambetter Health Commercial | $669.60 | ↑ +583% |
| United Healthcare | Nexus | $946.00 | ↑ +865% |
| United Healthcare | Oxford Metro | $946.00 | ↑ +865% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↑ +1035% |
| United Healthcare | Commercial | $1,113.00 | ↑ +1035% |
Visitor-reported prices
Comments
Noninv pace analysis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $135.82 | $279.73 – $672.96 |
| Community Medical Center | Toms River | $213.62 | $286.47 – $652.26 |
| Newark Beth Israel Medical Center | Newark | $133.52 | $144.36 – $672.96 |
| Monmouth Medical Center | Long Branch | $225.36 | $331.96 – $660.60 |
| Bayshore Medical Center | Holmdel | $331.96 | $298.47 – $361.83 |
| Hackensack University Medical Center | Hackensack | $353.19 | $282.55 – $474.60 |
| Ocean University Medical Center | Brick | $327.77 | $298.47 – $580.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $332.25 | $299.91 – $580.45 |