CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $243
  • Cash Discount Price: $2,868
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at St Joseph's University Medical Center Inc is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,868. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$2,868

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,868 (1177%)
Insurance Median: $243 (100%)
Cash: $2,868 (1177% of Medicare)
Ins. Median: $243 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Fidelis Care of New Jersey $65 - $574 27%
UnitedHealthcare $65 - $510 27%
Aetna $87 - $590 36%
Ambetter / Centene $87 - $425 36%
Amerihealth $87 - $1,826 36%
Clover Health $87 - $283 36%
Horizon New Jersey Total Care $87 - $283 36%
Wellpoint $87 - $563 36%
Blue Cross Blue Shield $92 - $807 38%
Multiplan $130 - $2,151 53%
Horizon New Jersey Health $155 64%
Longevity Health Plan $326 134%
Oxford $350 144%
Private Healthcare Systems $1,864 765%
Magnacare $2,008 824%
Consumer Health Network $2,581 1059%
Oscar $2,702 1108%
Cigna $2,868 1177%

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