Pelvic CT scan (with and without contrast) at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$564.08
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.
$2,836.00
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.
$199.72 with Wellpoint vs $2,707.24 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 |
|---|---|---|---|
| Wellpoint | Medicare Advantage | $199.72 | ↓ -65% |
| Humana | Medicare | $199.72 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $199.72 | ↓ -65% |
| Aetna | Medicare | $199.72 | ↓ -65% |
| Fidelis Care | Medicare Advantage | $199.72 | ↓ -65% |
| Clover Health | Medicare Advantage | $199.72 | ↓ -65% |
| United Healthcare | Medicare | $203.71 | ↓ -64% |
| Cigna | Local Plus | $221.00 | ↓ -61% |
| United Healthcare | Oxford Metro | $241.66 | ↓ -57% |
| United Healthcare | Nexus | $241.66 | ↓ -57% |
| Cigna | HMO | $281.00 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $287.00 | ↓ -49% |
| United Healthcare | Oxford Commercial | $287.91 | ↓ -49% |
| United Healthcare | Commercial | $287.91 | ↓ -49% |
| Cigna | PPO | $296.00 | ↓ -48% |
| Emblem Health | Commercial | $349.51 | ↓ -38% |
| United Healthcare | Community Plan | $361.30 | ↓ -36% |
| Fidelis Care | NJ Family Care | $368.11 | ↓ -35% |
| Aetna | Better Health | $395.62 | ↓ -30% |
| Wellcare | Ambetter Health Commercial | $397.44 | ↓ -30% |
| Aetna | HMO | $512.69 | ↓ -9% |
| Aetna | PPO | $512.69 | ↓ -9% |
| Amerihealth | Local Value | $524.07 | ↓ -7% |
| Amerihealth | Regional Preferred | $524.07 | ↓ -7% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $560.93 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $560.93 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $560.93 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $560.93 | ↓ -1% |
| Qualcare Inc | HMO/POS | $726.00 | ↑ +29% |
| Qualcare Inc | PPO/WC | $759.00 | ↑ +35% |
| Wellpoint | NJ Family Care | $1,616.52 | ↑ +187% |
| First Health | Commercial | $1,701.60 | ↑ +202% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,489.15 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,707.24 | ↑ +380% |
Visitor-reported prices
Comments
Pelvic CT scan (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $532.31 | $122.42 – $705.68 |
| Cooperman Barnabas Medical Center | Livingston | $600.94 | $199.72 – $726.00 |
| Community Medical Center | Toms River | $588.18 | $194.55 – $726.00 |
| Childrens Specialized Hospital | Mountainside | $1,208.50 | $175.00 – $175.00 |
| Newark Beth Israel Medical Center | Newark | $590.73 | $126.02 – $726.00 |
| Jersey City Medical Center | Jersey City | $589.32 | $158.43 – $704.00 |
| Monmouth Medical Center | Long Branch | $620.51 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $1,762.00 |