Valvuloplasty pulmonary at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$2,922.23
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.
?
What you pay up front if you don't use insurance.
$14,692.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$721.60 with Horizon Blue Cross Blue Shield of New Jersey vs $44,977.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $721.60 | ↓ -75% |
| United Healthcare | Community Plan | $1,871.76 | ↓ -36% |
| Fidelis Care | NJ Family Care | $1,907.02 | ↓ -35% |
| Aetna | Better Health | $2,049.53 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,180.92 | ↑ +112% |
| United Healthcare | Oxford Metro | $6,418.00 | ↑ +120% |
| United Healthcare | Nexus | $7,534.00 | ↑ +158% |
| United Healthcare | Oxford Commercial | $7,551.00 | ↑ +158% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $7,678.03 | ↑ +163% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $7,867.56 | ↑ +169% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,112.92 | ↑ +178% |
| Wellpoint | NJ Family Care | $8,374.44 | ↑ +187% |
| First Health | Commercial | $8,815.20 | ↑ +202% |
| United Healthcare | Commercial | $8,864.00 | ↑ +203% |
| Aetna | PPO | $9,446.00 | ↑ +223% |
| Aetna | HMO | $9,446.00 | ↑ +223% |
| Qualcare Inc | HMO/POS | $11,283.45 | ↑ +286% |
| Qualcare Inc | PPO/WC | $12,032.74 | ↑ +312% |
| Humana | Medicare | $12,723.21 | ↑ +335% |
| Wellpoint | Medicare Advantage | $12,723.21 | ↑ +335% |
| Clover Health | Medicare Advantage | $12,723.21 | ↑ +335% |
| Fidelis Care | Medicare Advantage | $12,723.21 | ↑ +335% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $12,723.21 | ↑ +335% |
| Aetna | Medicare | $12,723.21 | ↑ +335% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $12,895.16 | ↑ +341% |
| United Healthcare | Medicare | $12,977.67 | ↑ +344% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,024.98 | ↑ +380% |
| Emblem Health | Commercial | $22,265.62 | ↑ +662% |
| Wellcare | Ambetter Health Commercial | $25,319.19 | ↑ +766% |
| Cigna | Local Plus | $33,607.00 | ↑ +1050% |
| Cigna | HMO | $42,703.00 | ↑ +1361% |
| Cigna | PPO | $44,977.00 | ↑ +1439% |
| Amerihealth | Regional Preferred | not published by hospital | — |
| Amerihealth | Local Value | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,322.41 | $543.44 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $3,646.79 | $721.60 – $25,446.42 |
| Newark Beth Israel Medical Center | Newark | $3,584.84 | $559.42 – $25,446.42 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $1,821.71 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,775.85 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $880.00 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $1,775.85 – $15,062.91 |