Stent iliac/open or perc/uni/init 37221 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.
$18,587.00
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.
$2,367.98 with United Healthcare vs $25,319.19 with Wellcare — 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 | $2,367.98 | ↓ -41% |
| Fidelis Care | NJ Family Care | $2,412.59 | ↓ -39% |
| Aetna | Better Health | $2,592.88 | ↓ -35% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,435.57 | ↓ -14% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↑ +4% |
| Aetna | PPO | $6,871.00 | ↑ +72% |
| Aetna | HMO | $6,871.00 | ↑ +72% |
| United Healthcare | Oxford Metro | $7,690.00 | ↑ +93% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,819.55 | ↑ +96% |
| United Healthcare | Nexus | $9,026.00 | ↑ +126% |
| United Healthcare | Oxford Commercial | $9,047.00 | ↑ +127% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $9,713.56 | ↑ +144% |
| Cigna | Local Plus | $9,782.33 | ↑ +145% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $9,953.33 | ↑ +150% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $10,263.74 | ↑ +157% |
| United Healthcare | Commercial | $10,619.00 | ↑ +166% |
| First Health | Commercial | $11,152.20 | ↑ +180% |
| Amerihealth | Local Value | $12,035.08 | ↑ +202% |
| Cigna | HMO | $12,430.98 | ↑ +212% |
| Fidelis Care | Medicare Advantage | $12,723.21 | ↑ +219% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,723.21 | ↑ +219% |
| Humana | Medicare | $12,723.21 | ↑ +219% |
| Wellpoint | Medicare Advantage | $12,723.21 | ↑ +219% |
| Clover Health | Medicare Advantage | $12,723.21 | ↑ +219% |
| Aetna | Medicare | $12,723.21 | ↑ +219% |
| United Healthcare | Medicare | $12,977.67 | ↑ +226% |
| Cigna | PPO | $13,092.68 | ↑ +228% |
| Amerihealth | Regional Preferred | $14,659.56 | ↑ +268% |
| Qualcare Inc | PPO/WC | $15,222.75 | ↑ +282% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $16,313.80 | ↑ +309% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $17,743.15 | ↑ +345% |
| Emblem Health | Commercial | $22,265.62 | ↑ +459% |
| Wellcare | Ambetter Health Commercial | $25,319.19 | ↑ +535% |
Visitor-reported prices
Comments
Stent iliac/open or perc/uni/init 37221 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,575.17 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $3,477.47 – $25,446.42 |
| Community Medical Center | Toms River | $3,786.00 | $3,561.26 – $24,663.82 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,621.49 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $2,038.45 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $6,871.14 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $995.86 – $14,023.10 |