Pr evaluation psychiatric diagnostic w/medical services at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$181.99
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.
$915.00
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.
$118.76 with Fidelis Care vs $873.45 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $118.76 | ↓ -35% |
| Aetna | Better Health | $127.64 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $180.26 | ↓ -1% |
| Aetna | Medicare | $180.26 | ↓ -1% |
| Fidelis Care | Medicare Advantage | $180.26 | ↓ -1% |
| Clover Health | Medicare Advantage | $180.26 | ↓ -1% |
| Humana | Medicare | $180.26 | ↓ -1% |
| Wellpoint | Medicare Advantage | $180.26 | ↓ -1% |
| Emblem Health | Commercial | $315.46 | ↑ +73% |
| Wellcare | Ambetter Health Commercial | $358.72 | ↑ +97% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $384.94 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $478.17 | ↑ +163% |
| Cigna | Local Plus | $481.56 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $489.98 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $505.26 | ↑ +178% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $510.62 | ↑ +181% |
| Wellpoint | NJ Family Care | $521.55 | ↑ +187% |
| Aetna | PPO | $539.85 | ↑ +197% |
| Aetna | HMO | $539.85 | ↑ +197% |
| First Health | Commercial | $549.00 | ↑ +202% |
| Cigna | HMO | $611.95 | ↑ +236% |
| Cigna | PPO | $644.52 | ↑ +254% |
| Amerihealth | Local Value | $689.36 | ↑ +279% |
| Amerihealth | Regional Preferred | $689.36 | ↑ +279% |
| Qualcare Inc | HMO/POS | $702.72 | ↑ +286% |
| Qualcare Inc | PPO/WC | $749.38 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $803.09 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $873.45 | ↑ +380% |
Visitor-reported prices
Comments
Pr evaluation psychiatric diagnostic w/medical services at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $334.40 | $121.22 – $608.00 |
| Trinitas Regional Medical Center | Elizabeth | $181.13 | $175.59 – $351.18 |
| Cooperman Barnabas Medical Center | Livingston | $153.62 | $180.26 – $360.52 |
| Community Medical Center | Toms River | $200.14 | $175.59 – $349.42 |
| Childrens Specialized Hospital | Mountainside | $428.00 | $207.00 – $1,396.39 |
| Newark Beth Israel Medical Center | Newark | $185.17 | $180.26 – $360.52 |
| Jersey City Medical Center | Jersey City | $200.52 | $189.21 – $376.53 |
| Monmouth Medical Center | Long Branch | $211.14 | $177.84 – $353.90 |