Vaccine pneumococcal conjugate 13 valent (pcv13) im at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$94.55
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.
$475.41
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.
$61.70 with Fidelis Care vs $453.82 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 |
|---|---|---|---|
| Fidelis Care | NJ Family Care | $61.70 | ↓ -35% |
| Aetna | Better Health | $142.62 | ↑ +51% |
| Qualcare Inc | PPO/WC | $190.16 | ↑ +101% |
| Qualcare Inc | HMO/POS | $190.16 | ↑ +101% |
| United Healthcare | Nexus | $229.61 | ↑ +143% |
| United Healthcare | Oxford Metro | $229.61 | ↑ +143% |
| Wellpoint | NJ Family Care | $237.70 | ↑ +151% |
| Amerihealth | Regional Preferred | $245.10 | ↑ +159% |
| Amerihealth | Local Value | $245.10 | ↑ +159% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $257.99 | ↑ +173% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $257.99 | ↑ +173% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $257.99 | ↑ +173% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $257.99 | ↑ +173% |
| United Healthcare | Community Plan | $257.99 | ↑ +173% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $267.72 | ↑ +183% |
| United Healthcare | Commercial | $270.89 | ↑ +187% |
| United Healthcare | Oxford Commercial | $270.89 | ↑ +187% |
| Cigna | PPO | $273.47 | ↑ +189% |
| Cigna | Local Plus | $273.47 | ↑ +189% |
| Cigna | HMO | $273.47 | ↑ +189% |
| First Health | Commercial | $285.24 | ↑ +202% |
| Aetna | PPO | $317.33 | ↑ +236% |
| Aetna | HMO | $317.33 | ↑ +236% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $417.26 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $453.82 | ↑ +380% |
Visitor-reported prices
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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $232.00 | $229.61 – $1,573.74 |
| Cooperman Barnabas Medical Center | Livingston | $100.73 | $229.61 – $317.33 |
| Community Medical Center | Toms River | $98.60 | $229.61 – $309.59 |
| Newark Beth Israel Medical Center | Newark | $99.02 | $229.61 – $317.33 |
| Jersey City Medical Center | Jersey City | $98.79 | $229.61 – $309.59 |
| Monmouth Medical Center | Long Branch | $104.01 | $229.61 – $317.33 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $112.49 | $229.61 – $309.59 |
| Monmouth Medical Center Southern Campus | Lakewood | $113.00 | $229.61 – $317.33 |