CMS Price Transparency Data

C-section delivery (full package)

Facility: St Joseph's University Medical Center Inc

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $3,289
  • Cash Discount Price: $8,602
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at St Joseph's University Medical Center Inc is $3,289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,602. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.33x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$8,602

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,289

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)
Cash / Self-Pay: $8,602 (348%)
Insurance Median: $3,289 (133%)
Cash: $8,602 (348% of Medicare)
Ins. Median: $3,289 (133% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 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.

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
Aetna $1,231 - $5,500 50%
Fidelis Care of New Jersey $2,022 - $2,831 82%
UnitedHealthcare $2,022 - $3,500 82%
Blue Cross Blue Shield $2,348 - $7,677 95%
Ambetter / Centene $2,696 - $4,044 109%
Amerihealth $2,696 - $3,101 109%
Clover Health $2,696 109%
Horizon New Jersey Total Care $2,696 109%
Wellpoint $2,696 109%
Longevity Health Plan $3,101 125%
Oxford $3,500 142%
Consumer Health Network $3,982 161%
Multiplan $4,044 164%
Private Healthcare Systems $5,592 226%
Horizon New Jersey Health $7,312 296%
Cigna $8,602 348%

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