X-ray exam of sinuses at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$72.59
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.
$365.00
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.
$32.80 with Horizon Blue Cross Blue Shield of New Jersey vs $348.42 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $32.80 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $37.16 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $37.16 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $37.16 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $37.16 | ↓ -49% |
| Amerihealth | Local Value | $44.84 | ↓ -38% |
| Amerihealth | Regional Preferred | $44.84 | ↓ -38% |
| United Healthcare | Community Plan | $46.50 | ↓ -36% |
| Fidelis Care | NJ Family Care | $47.37 | ↓ -35% |
| Aetna | Better Health | $50.91 | ↓ -30% |
| Aetna | HMO | $67.04 | ↓ -8% |
| Aetna | PPO | $67.04 | ↓ -8% |
| Clover Health | Medicare Advantage | $98.79 | ↑ +36% |
| Fidelis Care | Medicare Advantage | $98.79 | ↑ +36% |
| Aetna | Medicare | $98.79 | ↑ +36% |
| Humana | Medicare | $98.79 | ↑ +36% |
| Wellpoint | Medicare Advantage | $98.79 | ↑ +36% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $98.79 | ↑ +36% |
| United Healthcare | Medicare | $100.77 | ↑ +39% |
| United Healthcare | Nexus | $116.42 | ↑ +60% |
| United Healthcare | Oxford Metro | $116.42 | ↑ +60% |
| Cigna | HMO | $124.85 | ↑ +72% |
| Cigna | PPO | $124.85 | ↑ +72% |
| Cigna | Local Plus | $124.85 | ↑ +72% |
| United Healthcare | Oxford Commercial | $126.10 | ↑ +74% |
| United Healthcare | Commercial | $126.10 | ↑ +74% |
| Emblem Health | Commercial | $172.88 | ↑ +138% |
| Wellcare | Ambetter Health Commercial | $196.59 | ↑ +171% |
| Wellpoint | NJ Family Care | $208.05 | ↑ +187% |
| First Health | Commercial | $219.00 | ↑ +202% |
| Qualcare Inc | HMO/POS | $280.32 | ↑ +286% |
| Qualcare Inc | PPO/WC | $298.93 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $320.36 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $348.42 | ↑ +380% |
Visitor-reported prices
Comments
X-ray exam of sinuses at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $65.69 | $16.84 – $192.46 |
| Community Medical Center | Toms River | $72.59 | $32.80 – $191.50 |
| Newark Beth Israel Medical Center | Newark | $72.90 | $17.34 – $197.58 |
| Jersey City Medical Center | Jersey City | $72.73 | $21.79 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $46.88 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $29.73 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $46.88 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $56.92 – $231.98 |