Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray forearm 2 views (both sides) CPT 73090 | not published | $1,458.00 | $22.96 – $196.59 | 11 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | $1,210.00 | $18.04 – $237.43 | 11 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $15.88 – $196.59 | 11 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | $1,182.00 | $22.06 – $196.59 | 11 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | $673.00 | $47.07 – $244.70 | 11 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $128.88 | $648.00 | $36.00 – $237.43 | 11 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $146.19 | $735.00 | $44.38 – $237.43 | 11 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $171.65 | $863.00 | $51.58 – $244.70 | 11 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | $303.00 | $26.86 – $196.59 | 11 |
| X-ray humerus >= 2 views left CPT 73060 | not published | $713.00 | $27.06 – $196.59 | 11 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $28.47 – $237.43 | 11 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | $1,398.00 | $27.06 – $196.59 | 11 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | $1,528.00 | $27.06 – $196.59 | 11 |
| X-ray knee ap standing bilateral CPT 73565 | $72.20 | $363.00 | $37.83 – $196.59 | 11 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | $908.00 | $32.80 – $196.59 | 11 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $96.46 | $485.00 | $32.80 – $237.43 | 11 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $156.73 | $788.00 | $45.10 – $237.43 | 11 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $169.46 | $852.00 | $45.92 – $244.70 | 11 |
| X-ray male genital tract CPT 74440 | not published | not published | $39.69 – $539.67 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $139.42 | $701.00 | $32.80 – $237.43 | 11 |
| X-ray mandible ltd <4 views CPT 70100 | $49.32 | $248.00 | $27.06 – $196.59 | 11 |
| X-ray nasal bones complete > 3 views CPT 70160 | $128.68 | $647.00 | $27.06 – $196.59 | 11 |
| X-ray neck soft tissue CPT 70360 | $86.32 | $434.00 | $21.17 – $196.59 | 11 |
| X-ray nose to rectum for foreign body child CPT 76010 | $51.71 | $260.00 | $24.60 – $196.59 | 11 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $101.20 – $539.67 | 10 |
| X-ray optic foramina CPT 70190 | not published | $310.00 | $24.60 – $196.59 | 11 |
| X-ray pelvis 1-2 views CPT 72170 | $123.71 | $622.00 | $27.06 – $237.43 | 11 |
| X-ray pelvis complete > 3 views CPT 72190 | $129.88 | $653.00 | $32.80 – $237.43 | 11 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $132.86 – $132.86 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $151.75 – $151.75 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $290.39 | $1,460.00 | $80.36 – $797.33 | 11 |
| X-ray ribs 2 views left CPT 71100 | not published | $781.00 | $24.60 – $196.59 | 11 |
| X-ray ribs 3 views bilateral CPT 71110 | $179.20 | $901.00 | $32.80 – $237.43 | 11 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | $874.00 | $45.10 – $237.43 | 11 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $202.08 | $1,016.00 | $57.40 – $237.43 | 11 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $80.35 | $404.00 | $32.80 – $237.43 | 11 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $135.45 | $681.00 | $27.06 – $196.59 | 11 |
| X-ray scapula complete (both sides) CPT 73010 | not published | $1,228.00 | $24.60 – $237.43 | 11 |
| X-ray sella turcica CPT 70240 | not published | not published | $27.06 – $196.59 | 11 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | $660.00 | $24.60 – $196.59 | 11 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $86.12 | $433.00 | $45.10 – $196.59 | 11 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $214.21 | $1,077.00 | $34.44 – $1,224.15 | 10 |
| X-ray skull < 4 views CPT 70250 | $84.33 | $424.00 | $30.88 – $237.43 | 11 |
| X-ray skull > 4 views complete CPT 70260 | $156.13 | $785.00 | $45.10 – $237.43 | 11 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $57.40 – $322.85 | 11 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $161.10 | $810.00 | $62.94 – $437.49 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $202.48 | $1,018.00 | $60.35 – $135.10 | 2 |
| X-ray spine single view CPT 72020 | $94.47 | $475.00 | $19.99 – $196.59 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $130.87 | $658.00 | $32.80 – $196.59 | 11 |
| X-ray sternum > 2 views CPT 71120 | $102.43 | $515.00 | $29.68 – $196.59 | 11 |
| X-ray surgical specimen CPT 76098 | $201.08 | $1,011.00 | $19.88 – $1,224.15 | 11 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $170.25 | $856.00 | $66.47 – $519.12 | 11 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $103.42 | $520.00 | $32.80 – $216.91 | 11 |
| X-ray thoracic spine 2 views CPT 72070 | $156.73 | $788.00 | $30.59 – $237.43 | 11 |
| X-ray thoracic spine 3 views CPT 72072 | $161.10 | $810.00 | $32.80 – $237.43 | 11 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $97.06 | $488.00 | $31.18 – $196.59 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $68.62 | $345.00 | $32.23 – $196.59 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $81.35 | $409.00 | $47.64 – $288.12 | 11 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | $1,826.00 | $27.06 – $196.59 | 11 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | $488.00 | $11.48 – $196.59 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $275.47 | $1,385.00 | $84.41 – $505.24 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $241.46 | $1,214.00 | $78.52 – $442.70 | 11 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | $15,985.00 | $22.65 – $196.59 | 11 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $45.92 – $397.44 | 11 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $284.00 – $284.00 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $382.00 – $401.80 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,838.60 – $3,592.44 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | $14.20 | not published | $6.07 – $52.08 | 11 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.29 – $3.34 | 11 |
| Yersinia antibody CPT 86793 | $14.51 | $149.00 | $6.20 – $53.41 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $50,573.85 – $126,867.67 | 10 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $78.65 – $498.99 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.63 – $21.83 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $1.86 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.51 – $1.81 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $56.44 | not published | $24.12 – $209.62 | 11 |
| Zika virus igm antibody CPT 86794 | $18.54 | $53.00 | $7.92 – $68.10 | 11 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.07 – $3.48 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $7.08 – $10.34 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.28 – $17.81 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $5.25 – $7.65 | 5 |
| Zoster vaccine-live inj CPT 90736 | $90.00 | $452.50 | $139.59 – $266.81 | 4 |
| Zrsr2 gene common variants CPT 81360 | $212.58 | not published | $90.83 – $787.79 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.