Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,986.00
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.
$2,255.00
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.
$193.09 with Horizon Blue Cross Blue Shield of New Jersey vs $4,294.00 with Aetna — 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 | $193.09 | ↓ -95% |
| United Healthcare | Community Plan | $287.28 | ↓ -93% |
| Fidelis Care | NJ Family Care | $292.69 | ↓ -93% |
| Aetna | Better Health | $314.57 | ↓ -92% |
| Clover Health | Medicare Advantage | $776.95 | ↓ -81% |
| Humana | Medicare | $776.95 | ↓ -81% |
| Aetna | Medicare | $776.95 | ↓ -81% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $776.95 | ↓ -81% |
| Fidelis Care | Medicare Advantage | $776.95 | ↓ -81% |
| Wellpoint | Medicare Advantage | $776.95 | ↓ -81% |
| United Healthcare | Medicare | $792.49 | ↓ -80% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $948.67 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,178.46 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,207.55 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,245.21 | ↓ -69% |
| First Health | Commercial | $1,353.00 | ↓ -66% |
| Emblem Health | Commercial | $1,359.66 | ↓ -66% |
| Amerihealth | Local Value | $1,460.11 | ↓ -63% |
| Cigna | Local Plus | $1,479.00 | ↓ -63% |
| Wellcare | Ambetter Health Commercial | $1,546.13 | ↓ -61% |
| Qualcare Inc | HMO/POS | $1,731.84 | ↓ -57% |
| Amerihealth | Regional Preferred | $1,778.51 | ↓ -55% |
| Qualcare Inc | PPO/WC | $1,846.84 | ↓ -54% |
| Cigna | HMO | $1,879.00 | ↓ -53% |
| Cigna | PPO | $1,979.00 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,979.21 | ↓ -50% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $2,152.62 | ↓ -46% |
| United Healthcare | Oxford Metro | $2,255.00 | ↓ -43% |
| United Healthcare | Nexus | $2,647.00 | ↓ -34% |
| United Healthcare | Oxford Commercial | $2,653.00 | ↓ -33% |
| United Healthcare | Commercial | $3,114.00 | ↓ -22% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Aetna | PPO | $4,294.00 | ↑ +8% |
| Aetna | HMO | $4,294.00 | ↑ +8% |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $114.66 – $1,513.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $193.09 – $1,553.90 |
| Community Medical Center | Toms River | $3,786.00 | $193.09 – $1,506.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $118.03 – $1,553.90 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $148.38 – $1,622.94 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $193.09 – $1,525.37 |
| Bayshore Medical Center | Holmdel | $766.52 | $766.52 – $919.83 |
| Hackensack University Medical Center | Hackensack | $815.55 | $175.04 – $856.33 |