Tilt table study at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$672.48
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.
$3,381.00
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.
$345.00 with United Healthcare vs $3,227.50 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 | Oxford Metro | $345.00 | ↓ -49% |
| United Healthcare | Nexus | $395.00 | ↓ -41% |
| United Healthcare | Community Plan | $430.73 | ↓ -36% |
| Fidelis Care | NJ Family Care | $438.85 | ↓ -35% |
| United Healthcare | Commercial | $465.00 | ↓ -31% |
| United Healthcare | Oxford Commercial | $465.00 | ↓ -31% |
| Aetna | Better Health | $471.64 | ↓ -30% |
| Clover Health | Medicare Advantage | $595.29 | ↓ -11% |
| Humana | Medicare | $595.29 | ↓ -11% |
| Aetna | Medicare | $595.29 | ↓ -11% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $595.29 | ↓ -11% |
| Fidelis Care | Medicare Advantage | $595.29 | ↓ -11% |
| Wellpoint | Medicare Advantage | $595.29 | ↓ -11% |
| United Healthcare | Medicare | $607.20 | ↓ -10% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $941.36 | ↑ +40% |
| Emblem Health | Commercial | $1,041.76 | ↑ +55% |
| Wellcare | Ambetter Health Commercial | $1,184.63 | ↑ +76% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,422.38 | ↑ +112% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,766.91 | ↑ +163% |
| Cigna | Local Plus | $1,779.42 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,810.52 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,866.98 | ↑ +178% |
| Wellpoint | NJ Family Care | $1,927.17 | ↑ +187% |
| Aetna | HMO | $1,994.79 | ↑ +197% |
| Aetna | PPO | $1,994.79 | ↑ +197% |
| First Health | Commercial | $2,028.60 | ↑ +202% |
| Cigna | HMO | $2,261.21 | ↑ +236% |
| Cigna | PPO | $2,381.57 | ↑ +254% |
| Amerihealth | Local Value | $2,547.24 | ↑ +279% |
| Amerihealth | Regional Preferred | $2,547.24 | ↑ +279% |
| Qualcare Inc | HMO/POS | $2,596.60 | ↑ +286% |
| Qualcare Inc | PPO/WC | $2,769.03 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $2,967.50 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $3,227.50 | ↑ +380% |
Visitor-reported prices
Comments
Tilt table study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $801.29 | $83.30 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $786.99 | $395.00 – $1,190.58 |
| Community Medical Center | Toms River | $885.39 | $395.00 – $1,153.96 |
| Newark Beth Israel Medical Center | Newark | $773.62 | $85.75 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $887.09 | $107.80 – $1,243.49 |
| Monmouth Medical Center | Long Branch | $934.05 | $395.00 – $1,168.73 |
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $704.76 |
| Hackensack University Medical Center | Hackensack | $624.87 | $284.06 – $2,033.00 |