CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $130
  • Cash Discount Price: $2,872
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Joseph's University Medical Center Inc is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,872. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.22x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$2,872

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $2,872 (2689%)
Insurance Median: $130 (122%)
Cash: $2,872 (2689% of Medicare)
Ins. Median: $130 (122% 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 $32 - $575 30%
UnitedHealthcare $32 - $510 30%
Aetna $43 - $591 40%
Ambetter / Centene $43 - $186 40%
Amerihealth $43 - $1,829 40%
Clover Health $43 - $124 40%
Horizon New Jersey Total Care $43 - $124 40%
Wellpoint $43 - $564 40%
Blue Cross Blue Shield $46 - $364 43%
Multiplan $64 - $2,154 60%
Longevity Health Plan $143 134%
Oxford $160 150%
Horizon New Jersey Health $224 - $316 210%
Private Healthcare Systems $242 - $1,867 227%
Cigna $372 - $2,872 348%
Consumer Health Network $386 - $2,585 361%
Magnacare $2,010 1882%
Oscar $2,705 2533%

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