Rbc serum pretx incubj drugs at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$231.12
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.
$1,162.00
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.
$15.58 with Horizon Blue Cross Blue Shield of New Jersey vs $1,109.24 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 | $15.58 | ↓ -93% |
| Amerihealth | Regional Preferred | $25.12 | ↓ -89% |
| Amerihealth | Local Value | $25.12 | ↓ -89% |
| United Healthcare | Community Plan | $26.25 | ↓ -89% |
| Fidelis Care | NJ Family Care | $26.75 | ↓ -88% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $34.92 | ↓ -85% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $34.92 | ↓ -85% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $34.92 | ↓ -85% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $34.92 | ↓ -85% |
| United Healthcare | Commercial | $59.97 | ↓ -74% |
| United Healthcare | Oxford Commercial | $59.97 | ↓ -74% |
| Cigna | PPO | $121.51 | ↓ -47% |
| Cigna | Local Plus | $121.51 | ↓ -47% |
| Cigna | HMO | $121.51 | ↓ -47% |
| Aetna | Better Health | $162.09 | ↓ -30% |
| United Healthcare | Nexus | $177.46 | ↓ -23% |
| United Healthcare | Oxford Metro | $177.46 | ↓ -23% |
| Humana | Medicare | $447.69 | ↑ +94% |
| Wellpoint | Medicare Advantage | $447.69 | ↑ +94% |
| Fidelis Care | Medicare Advantage | $447.69 | ↑ +94% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $447.69 | ↑ +94% |
| Clover Health | Medicare Advantage | $447.69 | ↑ +94% |
| Aetna | Medicare | $447.69 | ↑ +94% |
| United Healthcare | Medicare | $456.64 | ↑ +98% |
| Wellpoint | NJ Family Care | $662.34 | ↑ +187% |
| Aetna | HMO | $685.58 | ↑ +197% |
| Aetna | PPO | $685.58 | ↑ +197% |
| First Health | Commercial | $697.20 | ↑ +202% |
| Emblem Health | Commercial | $783.46 | ↑ +239% |
| Wellcare | Ambetter Health Commercial | $890.90 | ↑ +285% |
| Qualcare Inc | HMO/POS | $892.41 | ↑ +286% |
| Qualcare Inc | PPO/WC | $951.67 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,019.88 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,109.24 | ↑ +380% |
Visitor-reported prices
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Rbc serum pretx incubj drugs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $97.22 | $24.70 – $872.20 |
| Cooperman Barnabas Medical Center | Livingston | $109.76 | $15.58 – $895.38 |
| Newark Beth Israel Medical Center | Newark | $107.89 | $15.58 – $895.38 |
| Bayshore Medical Center | Holmdel | $441.68 | $34.53 – $554.63 |
| Hackensack University Medical Center | Hackensack | $469.93 | $14.12 – $493.43 |
| Ocean University Medical Center | Brick | $436.10 | $27.50 – $436.10 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.06 | $27.50 – $589.08 |
| Jersey Shore University Medical Center | Neptune City | $441.68 | $34.53 – $603.94 |