Vein x-ray skull at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$936.42
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.
$4,708.00
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.
$267.89 with Horizon Blue Cross Blue Shield of New Jersey vs $7,027.17 with Wellcare — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $267.89 | ↓ -71% |
| Aetna | PPO | $291.68 | ↓ -69% |
| Aetna | HMO | $291.68 | ↓ -69% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $307.68 | ↓ -67% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $307.68 | ↓ -67% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $307.68 | ↓ -67% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $307.68 | ↓ -67% |
| Cigna | PPO | $510.24 | ↓ -46% |
| Cigna | HMO | $510.24 | ↓ -46% |
| Cigna | Local Plus | $510.24 | ↓ -46% |
| United Healthcare | Community Plan | $599.79 | ↓ -36% |
| Fidelis Care | NJ Family Care | $611.09 | ↓ -35% |
| Aetna | Better Health | $656.76 | ↓ -30% |
| United Healthcare | Oxford Commercial | $2,577.19 | ↑ +175% |
| United Healthcare | Commercial | $2,577.19 | ↑ +175% |
| Wellpoint | NJ Family Care | $2,683.56 | ↑ +187% |
| First Health | Commercial | $2,824.80 | ↑ +202% |
| Wellpoint | Medicare Advantage | $3,531.24 | ↑ +277% |
| Aetna | Medicare | $3,531.24 | ↑ +277% |
| Humana | Medicare | $3,531.24 | ↑ +277% |
| Clover Health | Medicare Advantage | $3,531.24 | ↑ +277% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,531.24 | ↑ +277% |
| Fidelis Care | Medicare Advantage | $3,531.24 | ↑ +277% |
| United Healthcare | Medicare | $3,601.86 | ↑ +285% |
| Qualcare Inc | HMO/POS | $3,615.74 | ↑ +286% |
| Qualcare Inc | PPO/WC | $3,855.85 | ↑ +312% |
| United Healthcare | Oxford Metro | $3,991.82 | ↑ +326% |
| United Healthcare | Nexus | $3,991.82 | ↑ +326% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,132.21 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,494.25 | ↑ +380% |
| Emblem Health | Commercial | $6,179.67 | ↑ +560% |
| Wellcare | Ambetter Health Commercial | $7,027.17 | ↑ +650% |
Visitor-reported prices
Comments
Vein x-ray skull at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $883.69 | $80.50 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $997.62 | $267.89 – $7,062.48 |
| Community Medical Center | Toms River | $976.43 | $267.56 – $6,845.28 |
| Newark Beth Israel Medical Center | Newark | $980.67 | $82.87 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $978.32 | $104.17 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $1,030.11 | $267.89 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $257.31 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $242.85 – $8,849.68 |