Ther/proph/diag inj ia at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$66.03
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.
$332.00
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.
$9.70 with Horizon Blue Cross Blue Shield of New Jersey vs $470.40 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $9.70 | ↓ -85% |
| Aetna | PPO | $25.34 | ↓ -62% |
| Aetna | HMO | $25.34 | ↓ -62% |
| United Healthcare | Community Plan | $42.29 | ↓ -36% |
| Fidelis Care | NJ Family Care | $43.09 | ↓ -35% |
| Aetna | Better Health | $46.31 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $139.67 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $173.50 | ↑ +163% |
| Cigna | Local Plus | $174.73 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $177.78 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $183.33 | ↑ +178% |
| Wellpoint | NJ Family Care | $189.24 | ↑ +187% |
| First Health | Commercial | $199.20 | ↑ +202% |
| Cigna | HMO | $222.04 | ↑ +236% |
| Cigna | PPO | $233.86 | ↑ +254% |
| Aetna | Medicare | $236.38 | ↑ +258% |
| Clover Health | Medicare Advantage | $236.38 | ↑ +258% |
| Fidelis Care | Medicare Advantage | $236.38 | ↑ +258% |
| Humana | Medicare | $236.38 | ↑ +258% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $236.38 | ↑ +258% |
| Wellpoint | Medicare Advantage | $236.38 | ↑ +258% |
| United Healthcare | Medicare | $241.11 | ↑ +265% |
| Amerihealth | Local Value | $250.12 | ↑ +279% |
| Amerihealth | Regional Preferred | $250.12 | ↑ +279% |
| Qualcare Inc | HMO/POS | $254.97 | ↑ +286% |
| Qualcare Inc | PPO/WC | $271.90 | ↑ +312% |
| United Healthcare | Nexus | $281.00 | ↑ +326% |
| United Healthcare | Oxford Metro | $281.00 | ↑ +326% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $291.39 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $316.92 | ↑ +380% |
| United Healthcare | Oxford Commercial | $331.00 | ↑ +401% |
| United Healthcare | Commercial | $331.00 | ↑ +401% |
| Emblem Health | Commercial | $413.67 | ↑ +526% |
| Wellcare | Ambetter Health Commercial | $470.40 | ↑ +612% |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $78.27 | $9.65 – $460.52 |
| Cooperman Barnabas Medical Center | Livingston | $121.84 | $9.70 – $472.76 |
| Community Medical Center | Toms River | $86.48 | $9.70 – $458.22 |
| Newark Beth Israel Medical Center | Newark | $119.77 | $9.70 – $472.76 |
| Jersey City Medical Center | Jersey City | $86.65 | $9.70 – $493.76 |
| Monmouth Medical Center | Long Branch | $91.23 | $9.70 – $464.07 |
| Bayshore Medical Center | Holmdel | $233.20 | $233.20 – $875.00 |
| Hackensack University Medical Center | Hackensack | $248.12 | $33.00 – $1,323.00 |