Polysom <6 yrs cpap/bilvl at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$1,579.66
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.
$7,942.00
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.
$1,011.81 with United Healthcare vs $7,581.43 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 | $1,011.81 | ↓ -36% |
| Fidelis Care | NJ Family Care | $1,030.87 | ↓ -35% |
| Aetna | Better Health | $1,107.90 | ↓ -30% |
| Fidelis Care | Medicare Advantage | $1,141.43 | ↓ -28% |
| Wellpoint | Medicare Advantage | $1,141.43 | ↓ -28% |
| Humana | Medicare | $1,141.43 | ↓ -28% |
| Clover Health | Medicare Advantage | $1,141.43 | ↓ -28% |
| Aetna | Medicare | $1,141.43 | ↓ -28% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $1,141.43 | ↓ -28% |
| United Healthcare | Medicare | $1,164.26 | ↓ -26% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,639.00 | ↑ +4% |
| Emblem Health | Commercial | $1,997.50 | ↑ +26% |
| Wellcare | Ambetter Health Commercial | $2,271.45 | ↑ +44% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $3,341.19 | ↑ +112% |
| Amerihealth | Local Value | $3,838.00 | ↑ +143% |
| United Healthcare | Oxford Metro | $3,964.00 | ↑ +151% |
| United Healthcare | Nexus | $3,964.00 | ↑ +151% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $4,150.48 | ↑ +163% |
| Cigna | Local Plus | $4,179.87 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $4,252.94 | ↑ +169% |
| Amerihealth | Regional Preferred | $4,313.00 | ↑ +173% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $4,385.57 | ↑ +178% |
| Wellpoint | NJ Family Care | $4,526.94 | ↑ +187% |
| United Healthcare | Commercial | $4,663.00 | ↑ +195% |
| United Healthcare | Oxford Commercial | $4,663.00 | ↑ +195% |
| Aetna | PPO | $4,685.78 | ↑ +197% |
| Aetna | HMO | $4,685.78 | ↑ +197% |
| First Health | Commercial | $4,765.20 | ↑ +202% |
| Cigna | HMO | $5,311.60 | ↑ +236% |
| Cigna | PPO | $5,594.34 | ↑ +254% |
| Qualcare Inc | HMO/POS | $6,099.45 | ↑ +286% |
| Qualcare Inc | PPO/WC | $6,504.49 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,970.69 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $7,581.43 | ↑ +380% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,490.71 | $1,111.89 – $2,223.78 |
| Cooperman Barnabas Medical Center | Livingston | $1,682.90 | $1,141.43 – $2,282.86 |
| Community Medical Center | Toms River | $1,647.17 | $1,111.89 – $2,212.66 |
| Newark Beth Israel Medical Center | Newark | $1,654.31 | $1,141.43 – $2,282.86 |
| Jersey City Medical Center | Jersey City | $1,650.34 | $1,198.14 – $2,384.30 |
| Monmouth Medical Center | Long Branch | $1,737.70 | $1,126.11 – $2,240.96 |
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $5,634.00 |
| Hackensack University Medical Center | Hackensack | $1,198.14 | $958.51 – $8,372.00 |