R hrt cath chd nml nt cnj at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$918.52
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.
$4,618.00
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.
$170.36 with Horizon Blue Cross Blue Shield of New Jersey vs $16,170.00 with Amerihealth — 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 | $170.36 | ↓ -81% |
| United Healthcare | Community Plan | $588.33 | ↓ -36% |
| Fidelis Care | NJ Family Care | $599.41 | ↓ -35% |
| Aetna | Better Health | $644.21 | ↓ -30% |
| United Healthcare | Oxford Metro | $946.00 | ↑ +3% |
| United Healthcare | Nexus | $946.00 | ↑ +3% |
| United Healthcare | Oxford Commercial | $1,113.00 | ↑ +21% |
| United Healthcare | Commercial | $1,113.00 | ↑ +21% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,942.79 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,413.36 | ↑ +163% |
| Cigna | Local Plus | $2,430.45 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,472.93 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,550.05 | ↑ +178% |
| Wellpoint | NJ Family Care | $2,632.26 | ↑ +187% |
| First Health | Commercial | $2,770.80 | ↑ +202% |
| Cigna | HMO | $3,088.51 | ↑ +236% |
| Cigna | PPO | $3,252.91 | ↑ +254% |
| Qualcare Inc | HMO/POS | $3,546.62 | ↑ +286% |
| Humana | Medicare | $3,608.55 | ↑ +293% |
| Aetna | Medicare | $3,608.55 | ↑ +293% |
| Wellpoint | Medicare Advantage | $3,608.55 | ↑ +293% |
| Clover Health | Medicare Advantage | $3,608.55 | ↑ +293% |
| Fidelis Care | Medicare Advantage | $3,608.55 | ↑ +293% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,608.55 | ↑ +293% |
| United Healthcare | Medicare | $3,680.72 | ↑ +301% |
| Qualcare Inc | PPO/WC | $3,782.14 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,053.21 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,408.34 | ↑ +380% |
| Emblem Health | Commercial | $6,314.96 | ↑ +588% |
| Wellcare | Ambetter Health Commercial | $7,181.01 | ↑ +682% |
| Amerihealth | Local Value | $14,394.00 | ↑ +1467% |
| Aetna | PPO | $14,722.00 | ↑ +1503% |
| Aetna | HMO | $14,722.00 | ↑ +1503% |
| Amerihealth | Regional Preferred | $16,170.00 | ↑ +1660% |
Visitor-reported prices
Comments
R hrt cath chd nml nt cnj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $1,223.29 | $172.43 – $7,217.10 |
| Newark Beth Israel Medical Center | Newark | $1,202.51 | $312.66 – $7,217.10 |
| Bayshore Medical Center | Holmdel | $3,560.12 | $3,560.12 – $4,272.14 |
| Hackensack University Medical Center | Hackensack | $3,787.84 | $3,030.27 – $3,977.23 |
| Ocean University Medical Center | Brick | $3,515.15 | $3,216.41 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,563.20 | $207.75 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $3,560.12 | $3,560.12 – $4,272.14 |
| Palisades Medical Center | North Bergen | $3,787.84 | $204.63 – $4,128.74 |