CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $150
  • Cash Discount Price: $3,802
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at St Joseph's University Medical Center Inc is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,802. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$3,802

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,802 (3560%)
Insurance Median: $150 (140%)
Cash: $3,802 (3560% of Medicare)
Ins. Median: $150 (140% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $40 - $761 37%
UnitedHealthcare $40 - $676 37%
Aetna $54 - $782 51%
Ambetter / Centene $54 - $186 51%
Amerihealth $54 - $2,421 51%
Clover Health $54 - $150 51%
Horizon New Jersey Total Care $54 - $150 51%
Wellpoint $54 - $747 51%
Blue Cross Blue Shield $56 - $465 52%
Multiplan $81 - $2,852 76%
Longevity Health Plan $143 134%
Oxford $160 150%
Horizon New Jersey Health $238 - $396 223%
Private Healthcare Systems $303 - $2,471 284%
Consumer Health Network $386 - $3,422 361%
Cigna $466 - $3,802 436%
Magnacare $2,661 2491%
Oscar $3,581 3353%

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