X-ray hip with pelvis when performed bilateral 3-4 views at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$146.19
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.
$735.00
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.
$44.38 with Horizon Blue Cross Blue Shield of New Jersey vs $701.63 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 | $44.38 | ↓ -70% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $53.46 | ↓ -63% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $53.46 | ↓ -63% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $53.46 | ↓ -63% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $53.46 | ↓ -63% |
| Amerihealth | Regional Preferred | $61.38 | ↓ -58% |
| Amerihealth | Local Value | $61.38 | ↓ -58% |
| United Healthcare | Community Plan | $93.63 | ↓ -36% |
| Fidelis Care | NJ Family Care | $95.40 | ↓ -35% |
| Aetna | Better Health | $102.53 | ↓ -30% |
| Aetna | HMO | $111.81 | ↓ -24% |
| Aetna | PPO | $111.81 | ↓ -24% |
| Clover Health | Medicare Advantage | $119.31 | ↓ -18% |
| Wellpoint | Medicare Advantage | $119.31 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $119.31 | ↓ -18% |
| Aetna | Medicare | $119.31 | ↓ -18% |
| Humana | Medicare | $119.31 | ↓ -18% |
| Fidelis Care | Medicare Advantage | $119.31 | ↓ -18% |
| United Healthcare | Medicare | $121.70 | ↓ -17% |
| United Healthcare | Oxford Metro | $143.22 | ↓ -2% |
| United Healthcare | Nexus | $143.22 | ↓ -2% |
| United Healthcare | Commercial | $177.09 | ↑ +21% |
| United Healthcare | Oxford Commercial | $177.09 | ↑ +21% |
| Cigna | Local Plus | $208.21 | ↑ +42% |
| Cigna | HMO | $208.21 | ↑ +42% |
| Cigna | PPO | $208.21 | ↑ +42% |
| Emblem Health | Commercial | $208.79 | ↑ +43% |
| Wellcare | Ambetter Health Commercial | $237.43 | ↑ +62% |
| Wellpoint | NJ Family Care | $418.95 | ↑ +187% |
| First Health | Commercial | $441.00 | ↑ +202% |
| Qualcare Inc | HMO/POS | $564.48 | ↑ +286% |
| Qualcare Inc | PPO/WC | $601.96 | ↑ +312% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $645.10 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $701.63 | ↑ +380% |
Visitor-reported prices
Comments
X-ray hip with pelvis when performed bilateral 3-4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $105.11 | $28.12 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $134.76 | $44.38 – $238.62 |
| Community Medical Center | Toms River | $116.14 | $44.38 – $231.28 |
| Childrens Specialized Hospital | Mountainside | $213.00 | $27.06 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $132.47 | $28.95 – $238.62 |
| Jersey City Medical Center | Jersey City | $116.36 | $36.39 – $249.21 |
| Monmouth Medical Center | Long Branch | $122.52 | $44.38 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $62.48 – $295.04 |