Pulmonary vent imaging at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$152.75
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.
$768.00
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.
$97.84 with United Healthcare vs $897.13 with Wellcare — 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 | $97.84 | ↓ -36% |
| Fidelis Care | NJ Family Care | $99.68 | ↓ -35% |
| Aetna | Better Health | $107.13 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $127.74 | ↓ -16% |
| Amerihealth | Regional Preferred | $169.55 | ↑ +11% |
| Amerihealth | Local Value | $169.55 | ↑ +11% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $271.91 | ↑ +78% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $271.91 | ↑ +78% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $271.91 | ↑ +78% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $271.91 | ↑ +78% |
| Aetna | PPO | $409.07 | ↑ +168% |
| Aetna | HMO | $409.07 | ↑ +168% |
| Wellpoint | NJ Family Care | $437.76 | ↑ +187% |
| Aetna | Medicare | $450.82 | ↑ +195% |
| Humana | Medicare | $450.82 | ↑ +195% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $450.82 | ↑ +195% |
| Wellpoint | Medicare Advantage | $450.82 | ↑ +195% |
| Clover Health | Medicare Advantage | $450.82 | ↑ +195% |
| Fidelis Care | Medicare Advantage | $450.82 | ↑ +195% |
| United Healthcare | Medicare | $459.84 | ↑ +201% |
| First Health | Commercial | $460.80 | ↑ +202% |
| United Healthcare | Oxford Metro | $520.83 | ↑ +241% |
| United Healthcare | Nexus | $520.83 | ↑ +241% |
| United Healthcare | Commercial | $581.65 | ↑ +281% |
| United Healthcare | Oxford Commercial | $581.65 | ↑ +281% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $674.07 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $733.13 | ↑ +380% |
| Cigna | HMO | $780.97 | ↑ +411% |
| Cigna | PPO | $780.97 | ↑ +411% |
| Cigna | Local Plus | $780.97 | ↑ +411% |
| Emblem Health | Commercial | $788.94 | ↑ +416% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +442% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +467% |
| Wellcare | Ambetter Health Commercial | $897.13 | ↑ +487% |
Visitor-reported prices
Comments
Pulmonary vent imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $294.31 | $90.19 – $878.30 |
| Cooperman Barnabas Medical Center | Livingston | $299.41 | $127.74 – $901.64 |
| Newark Beth Israel Medical Center | Newark | $294.32 | $92.84 – $901.64 |
| Jersey City Medical Center | Jersey City | $325.83 | $116.71 – $941.71 |
| Monmouth Medical Center | Long Branch | $343.07 | $127.74 – $885.09 |
| Bayshore Medical Center | Holmdel | $444.77 | $240.68 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $115.80 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $240.68 – $1,021.05 |