CMS Price Transparency Data

Blood test, calcium

Facility: St Joseph's University Medical Center Inc

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $11
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at St Joseph's University Medical Center Inc is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.13x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $67 (1298%)
Insurance Median: $11 (213%)
Cash: $67 (1298% of Medicare)
Ins. Median: $11 (213% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $3 - $11 58%
Wellpoint $3 - $5 58%
Horizon New Jersey Health $5 97%
Blue Cross Blue Shield $5 - $58 97%
Clover Health $5 97%
Horizon New Jersey Total Care $5 97%
Amerihealth $5 - $43 97%
Aetna $5 - $14 97%
Fidelis Care of New Jersey $5 - $13 97%
Longevity Health Plan $6 116%
Consumer Health Network $7 - $60 136%
Ambetter / Centene $8 155%
Oxford $11 213%
Private Healthcare Systems $44 853%
Magnacare $47 911%
Multiplan $50 969%
Oscar $63 1221%
Cigna $67 1298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals