Tib/per revasc stnt & ather at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
not published by hospital
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.
$14,893.00
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.
$1,897.36 with United Healthcare vs $14,216.85 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 |
|---|---|---|---|
| United Healthcare | Community Plan | $1,897.36 | — |
| Fidelis Care | NJ Family Care | $1,933.11 | — |
| Aetna | Better Health | $2,077.57 | — |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $3,040.59 | — |
| Wellpoint | NJ Family Care | $3,266.00 | — |
| Qualcare Inc | HMO/POS | $4,148.00 | — |
| Aetna | PPO | $4,294.00 | — |
| Aetna | HMO | $4,294.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,265.48 | — |
| United Healthcare | Oxford Metro | $6,418.00 | — |
| United Healthcare | Nexus | $7,534.00 | — |
| United Healthcare | Oxford Commercial | $7,551.00 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $7,783.08 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $7,975.20 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,223.91 | — |
| United Healthcare | Commercial | $8,864.00 | — |
| First Health | Commercial | $8,935.80 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,071.58 | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,216.85 | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Tib/per revasc stnt & ather at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $2,084.06 – $5,580.60 |
| Monmouth Medical Center Southern Campus | Lakewood | $4,350.00 | $7,582.94 – $7,582.94 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $1,922.63 – $2,799.57 |
| Robert Wood Johnson University Hospital Rahway | Rahway | $4,627.00 | $3,578.26 – $3,578.26 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $2,143.61 – $2,799.57 |
| Trinitas Regional Medical Center | Elizabeth | not published | $2,024.52 – $4,869.28 |
| Cooperman Barnabas Medical Center | Livingston | not published | $3,077.67 – $3,077.67 |
| Community Medical Center | Toms River | not published | $3,151.83 – $3,151.83 |