CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: St Joseph's University Medical Center Inc

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0145
  • Insurance Median: $40
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at St Joseph's University Medical Center Inc is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $26.49, this hospital’s rate is 1.51x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$26.49

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $26.49 (100%)
Insurance Median: $40 (151%)
Ins. Median: $40 (151% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $26.49 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 $26 - $54 98%
Amerihealth $26 98%
Blue Cross Blue Shield $26 - $75 98%
Clover Health $26 98%
Horizon New Jersey Total Care $26 98%
UnitedHealthcare $26 - $55 98%
Wellpoint $26 98%
Fidelis Care of New Jersey $28 106%
Longevity Health Plan $30 113%
Ambetter / Centene $40 151%
Horizon New Jersey Health $40 151%
Oxford $55 208%

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