Pq vrtbrplst 1 bdy inj crv-thr w/img ini at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,986.00
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.
$9,606.00
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.
$1,223.80 with United Healthcare vs $9,392.00 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,223.80 | ↓ -69% |
| Fidelis Care | NJ Family Care | $1,246.85 | ↓ -69% |
| Aetna | Better Health | $1,340.03 | ↓ -66% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,699.79 | ↓ -57% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Wellpoint | Medicare Advantage | $3,640.19 | ↓ -9% |
| Humana | Medicare | $3,640.19 | ↓ -9% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,640.19 | ↓ -9% |
| Aetna | Medicare | $3,640.19 | ↓ -9% |
| Fidelis Care | Medicare Advantage | $3,640.19 | ↓ -9% |
| Clover Health | Medicare Advantage | $3,640.19 | ↓ -9% |
| United Healthcare | Medicare | $3,712.99 | ↓ -7% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $4,041.24 | ↑ +1% |
| United Healthcare | Oxford Metro | $4,332.00 | ↑ +9% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $5,020.09 | ↑ +26% |
| United Healthcare | Nexus | $5,085.00 | ↑ +28% |
| United Healthcare | Oxford Commercial | $5,097.00 | ↑ +28% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $5,144.01 | ↑ +29% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $5,304.43 | ↑ +33% |
| First Health | Commercial | $5,763.60 | ↑ +45% |
| United Healthcare | Commercial | $5,982.00 | ↑ +50% |
| Emblem Health | Commercial | $6,370.33 | ↑ +60% |
| Aetna | HMO | $6,871.00 | ↑ +72% |
| Aetna | PPO | $6,871.00 | ↑ +72% |
| Cigna | Local Plus | $7,018.00 | ↑ +76% |
| Wellcare | Ambetter Health Commercial | $7,243.98 | ↑ +82% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $8,431.18 | ↑ +112% |
| Cigna | HMO | $8,917.00 | ↑ +124% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $9,169.88 | ↑ +130% |
| Cigna | PPO | $9,392.00 | ↑ +136% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
Comments
Pq vrtbrplst 1 bdy inj crv-thr w/img ini at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $928.46 – $7,091.94 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,720.52 – $7,280.38 |
| Community Medical Center | Toms River | $3,786.00 | $1,761.98 – $7,056.48 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $955.76 – $7,280.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,201.53 – $7,603.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $3,399.59 – $7,146.75 |
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $4,309.59 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $904.20 – $4,012.10 |