Scan duplex abd/pelvis/retroperitoneal limited at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$174.23
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.
$876.00
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.
$111.60 with United Healthcare vs $2,452.00 with United Healthcare — 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 | $111.60 | ↓ -36% |
| Fidelis Care | NJ Family Care | $113.70 | ↓ -35% |
| Clover Health | Medicare Advantage | $119.31 | ↓ -32% |
| Fidelis Care | Medicare Advantage | $119.31 | ↓ -32% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $119.31 | ↓ -32% |
| Aetna | Medicare | $119.31 | ↓ -32% |
| Humana | Medicare | $119.31 | ↓ -32% |
| Wellpoint | Medicare Advantage | $119.31 | ↓ -32% |
| United Healthcare | Medicare | $121.70 | ↓ -30% |
| Aetna | Better Health | $122.20 | ↓ -30% |
| Emblem Health | Commercial | $208.79 | ↑ +20% |
| Wellcare | Ambetter Health Commercial | $237.43 | ↑ +36% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $368.53 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $457.79 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $467.40 | ↑ +168% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $469.09 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $483.72 | ↑ +178% |
| Wellpoint | NJ Family Care | $499.32 | ↑ +187% |
| Aetna | HMO | $516.84 | ↑ +197% |
| Aetna | PPO | $516.84 | ↑ +197% |
| First Health | Commercial | $525.60 | ↑ +202% |
| Cigna | Local Plus | $631.82 | ↑ +263% |
| Cigna | PPO | $631.82 | ↑ +263% |
| Cigna | HMO | $631.82 | ↑ +263% |
| Amerihealth | Regional Preferred | $659.97 | ↑ +279% |
| Amerihealth | Local Value | $659.97 | ↑ +279% |
| Qualcare Inc | HMO/POS | $672.76 | ↑ +286% |
| Qualcare Inc | PPO/WC | $717.44 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $768.86 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $836.22 | ↑ +380% |
| United Healthcare | Nexus | $2,084.00 | ↑ +1096% |
| United Healthcare | Oxford Metro | $2,084.00 | ↑ +1096% |
| United Healthcare | Oxford Commercial | $2,452.00 | ↑ +1307% |
| United Healthcare | Commercial | $2,452.00 | ↑ +1307% |
Visitor-reported prices
Comments
Scan duplex abd/pelvis/retroperitoneal limited at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $305.77 | $119.31 – $631.82 |
| Community Medical Center | Toms River | $227.10 | $116.22 – $631.82 |
| Newark Beth Israel Medical Center | Newark | $300.57 | $77.15 – $631.82 |
| Jersey City Medical Center | Jersey City | $227.54 | $96.99 – $631.82 |
| Monmouth Medical Center | Long Branch | $239.58 | $117.70 – $631.82 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $4,324.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,179.00 |