Perq transcath septal reduxn at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$918.52
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.
$4,618.00
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.
$535.54 with Horizon Blue Cross Blue Shield of New Jersey vs $44,977.00 with Cigna — 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 | $535.54 | ↓ -42% |
| United Healthcare | Community Plan | $588.33 | ↓ -36% |
| Fidelis Care | NJ Family Care | $599.41 | ↓ -35% |
| Aetna | Better Health | $644.21 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,942.79 | ↑ +112% |
| United Healthcare | Oxford Metro | $2,211.00 | ↑ +141% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,413.36 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,472.93 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,550.05 | ↑ +178% |
| United Healthcare | Nexus | $2,595.00 | ↑ +183% |
| United Healthcare | Oxford Commercial | $2,601.00 | ↑ +183% |
| Wellpoint | NJ Family Care | $2,632.26 | ↑ +187% |
| First Health | Commercial | $2,770.80 | ↑ +202% |
| United Healthcare | Commercial | $3,053.00 | ↑ +232% |
| Qualcare Inc | HMO/POS | $3,546.62 | ↑ +286% |
| Qualcare Inc | PPO/WC | $3,782.14 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,053.21 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,408.34 | ↑ +380% |
| Aetna | PPO | $11,042.00 | ↑ +1102% |
| Aetna | HMO | $11,042.00 | ↑ +1102% |
| Cigna | Local Plus | $33,607.00 | ↑ +3559% |
| Cigna | HMO | $42,703.00 | ↑ +4549% |
| Cigna | PPO | $44,977.00 | ↑ +4797% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $764.53 | $542.07 – $542.07 |
| Newark Beth Israel Medical Center | Newark | $751.54 | $375.31 – $982.92 |
| Jersey City Medical Center | Jersey City | $749.74 | $471.82 – $587.79 |
| Robert Wood Johnson University Hospital | New Brunswick | $769.58 | $39.77 – $493.09 |
| Trinitas Regional Medical Center | Elizabeth | not published | $364.59 – $5,477.94 |
| Community Medical Center | Toms River | not published | $555.14 – $555.14 |
| Monmouth Medical Center | Long Branch | not published | $1,071.08 – $1,071.08 |
| Bayshore Medical Center | Holmdel | not published | not published |