Quant diff pulm perf w/imaging at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$261.75
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.
$1,316.00
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.
$143.50 with Horizon Blue Cross Blue Shield of New Jersey vs $1,256.25 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $143.50 | ↓ -45% |
| United Healthcare | Community Plan | $167.65 | ↓ -36% |
| Fidelis Care | NJ Family Care | $170.81 | ↓ -35% |
| Aetna | Better Health | $183.58 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $296.33 | ↑ +13% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $296.33 | ↑ +13% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $296.33 | ↑ +13% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $296.33 | ↑ +13% |
| Aetna | PPO | $413.72 | ↑ +58% |
| Aetna | HMO | $413.72 | ↑ +58% |
| Aetna | Medicare | $450.82 | ↑ +72% |
| Fidelis Care | Medicare Advantage | $450.82 | ↑ +72% |
| Clover Health | Medicare Advantage | $450.82 | ↑ +72% |
| Humana | Medicare | $450.82 | ↑ +72% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $450.82 | ↑ +72% |
| Wellpoint | Medicare Advantage | $450.82 | ↑ +72% |
| United Healthcare | Medicare | $459.84 | ↑ +76% |
| Amerihealth | Regional Preferred | $477.83 | ↑ +83% |
| Amerihealth | Local Value | $477.83 | ↑ +83% |
| United Healthcare | Oxford Metro | $520.83 | ↑ +99% |
| United Healthcare | Nexus | $520.83 | ↑ +99% |
| United Healthcare | Commercial | $581.65 | ↑ +122% |
| United Healthcare | Oxford Commercial | $581.65 | ↑ +122% |
| Wellpoint | NJ Family Care | $750.12 | ↑ +187% |
| Cigna | Local Plus | $784.46 | ↑ +200% |
| Cigna | HMO | $784.46 | ↑ +200% |
| Cigna | PPO | $784.46 | ↑ +200% |
| Emblem Health | Commercial | $788.94 | ↑ +201% |
| First Health | Commercial | $789.60 | ↑ +202% |
| Qualcare Inc | HMO/POS | $828.00 | ↑ +216% |
| Qualcare Inc | PPO/WC | $866.00 | ↑ +231% |
| Wellcare | Ambetter Health Commercial | $897.13 | ↑ +243% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,155.05 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,256.25 | ↑ +380% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $295.62 | $95.89 – $878.30 |
| Cooperman Barnabas Medical Center | Livingston | $501.35 | $143.50 – $901.64 |
| Community Medical Center | Toms River | $326.65 | $143.50 – $873.91 |
| Newark Beth Israel Medical Center | Newark | $492.83 | $98.71 – $901.64 |
| Jersey City Medical Center | Jersey City | $327.28 | $124.09 – $941.71 |
| Monmouth Medical Center | Long Branch | $344.61 | $143.50 – $885.09 |
| Bayshore Medical Center | Holmdel | $444.77 | $302.35 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $130.09 – $1,166.24 |