Vaccine rotavirus pentavalent (rv5) live 3 dose oral at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$42.21
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.
$212.26
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.
$27.55 with Fidelis Care vs $202.62 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 | $27.55 | ↓ -35% |
| Aetna | Better Health | $63.67 | ↑ +51% |
| Qualcare Inc | PPO/WC | $84.90 | ↑ +101% |
| Qualcare Inc | HMO/POS | $84.90 | ↑ +101% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $98.30 | ↑ +133% |
| Wellpoint | NJ Family Care | $106.13 | ↑ +151% |
| Amerihealth | Regional Preferred | $111.11 | ↑ +163% |
| Amerihealth | Local Value | $111.11 | ↑ +163% |
| Cigna | Local Plus | $111.71 | ↑ +165% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $112.51 | ↑ +167% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $112.51 | ↑ +167% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $112.51 | ↑ +167% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $112.51 | ↑ +167% |
| Aetna | HMO | $123.82 | ↑ +193% |
| Aetna | PPO | $123.82 | ↑ +193% |
| United Healthcare | Oxford Commercial | $124.35 | ↑ +195% |
| United Healthcare | Commercial | $124.35 | ↑ +195% |
| First Health | Commercial | $127.35 | ↑ +202% |
| Cigna | HMO | $141.95 | ↑ +236% |
| Cigna | PPO | $149.51 | ↑ +254% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $186.30 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $202.62 | ↑ +380% |
Visitor-reported prices
Comments
Vaccine rotavirus pentavalent (rv5) live 3 dose oral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $103.58 | $98.30 – $614.09 |
| Cooperman Barnabas Medical Center | Livingston | $44.97 | $98.30 – $124.35 |
| Community Medical Center | Toms River | $44.02 | $98.30 – $124.35 |
| Newark Beth Israel Medical Center | Newark | $44.21 | $98.30 – $124.35 |
| Jersey City Medical Center | Jersey City | $44.10 | $98.30 – $124.35 |
| Monmouth Medical Center | Long Branch | $46.44 | $98.30 – $124.35 |
| Monmouth Medical Center Southern Campus | Lakewood | $50.45 | $98.30 – $124.35 |
| Hackensack University Medical Center | Hackensack | not published | $123.53 – $123.53 |