Pul art balloon repr percut at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,441.16
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.
$17,301.00
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.
$782.28 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 | $782.28 | ↓ -77% |
| United Healthcare | Community Plan | $2,204.14 | ↓ -36% |
| Fidelis Care | NJ Family Care | $2,245.66 | ↓ -35% |
| Aetna | Better Health | $2,413.48 | ↓ -30% |
| United Healthcare | Oxford Metro | $6,418.00 | ↑ +87% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,278.53 | ↑ +112% |
| United Healthcare | Nexus | $7,534.00 | ↑ +119% |
| United Healthcare | Oxford Commercial | $7,551.00 | ↑ +119% |
| United Healthcare | Commercial | $8,864.00 | ↑ +158% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,041.50 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,264.68 | ↑ +169% |
| Aetna | HMO | $9,446.00 | ↑ +175% |
| Aetna | PPO | $9,446.00 | ↑ +175% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $9,553.61 | ↑ +178% |
| Wellpoint | NJ Family Care | $9,861.57 | ↑ +187% |
| First Health | Commercial | $10,380.60 | ↑ +202% |
| Humana | Medicare | $12,723.21 | ↑ +270% |
| Wellpoint | Medicare Advantage | $12,723.21 | ↑ +270% |
| Aetna | Medicare | $12,723.21 | ↑ +270% |
| Clover Health | Medicare Advantage | $12,723.21 | ↑ +270% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,723.21 | ↑ +270% |
| Fidelis Care | Medicare Advantage | $12,723.21 | ↑ +270% |
| United Healthcare | Medicare | $12,977.67 | ↑ +277% |
| Qualcare Inc | HMO/POS | $13,287.16 | ↑ +286% |
| Qualcare Inc | PPO/WC | $14,169.51 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $15,185.08 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $16,515.53 | ↑ +380% |
| Emblem Health | Commercial | $22,265.62 | ↑ +547% |
| Wellcare | Ambetter Health Commercial | $25,319.19 | ↑ +636% |
| Cigna | Local Plus | $33,607.00 | ↑ +877% |
| Cigna | HMO | $42,703.00 | ↑ +1141% |
| Cigna | PPO | $44,977.00 | ↑ +1207% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Pul art balloon repr percut at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,449.52 | $782.28 – $25,446.42 |
| Newark Beth Israel Medical Center | Newark | $3,390.91 | $320.76 – $25,446.42 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $709.16 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,018.25 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $954.00 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $1,018.25 – $15,062.91 |
| Palisades Medical Center | North Bergen | $13,355.34 | $939.69 – $14,557.32 |